Breast Reduction: BR to Improve Physical Appearance This 29 year old patient was extremely dissatisfied with the look of her large and sagging breasts. She wanted to have a smaller size while at the same time achieving a more perky look. Dr Perez performed a breast reduction in order to accomplish the patient's desires. This also gave her a more practical life style in order to perform physical activities in a more comfortable way. The patient was very please with the results.