Breast reduction is the perfect plastic surgery operation in the sense that it relieves discomfort, improves lifestyle, and enhances appearance. A Standard breast reduction is the time honored way of reducing breast size, because it allows for an unlimited amount of breast tissue removal. It also provides maximal control for breast mound reshaping and lifting. But the scars can be significant. If the skin is good and does not need to be lifted, then a so-called Scarless Reduction can be done (though there are actually two very small incisions underneath the breast.) Only fat can be removed and this technique does not offer the surgeon the ability to reshape, tighten, or lift the breast. But for the appropriate patient the result is gorgeous and very satisfying.