By Jeffrey Wisnicki, M.D., F.A.C.S. Breast Reduction can literally be a weight off of one’s shoulders. Among the most satisfied patients in plastic surgery practices are women who have experienced the relief of breast reduction after having lived years with the problems associated with oversized, heavy breasts. These women may initially suffer from neck, back, and shoulder pain. Rashes, upper extremity nerve symptoms and headaches are also not uncommon. This issue can be evident as early as the teenage years (a condition called virginal hypertrophy).