I was thinking about and talking about it for years to have a breast reduction. They were large & heavy. The older I got the more they hung, and my back, shoulder and neck pain continued to get worse from my body posture. A friend referred me to Dr Palaia after her surgery and she was ecstatic with her results. I went for my consult, and new he was the surgeon for me, and I was anxious and excited at the same time to get it scheduled. Bedside manner was pleasant, calming, and sincere. I highly recommend him if you are thinking about it. I am so pleased with the outcome. My life has changed because of it. I am less shy and able to wear the dress or blouse that I want to. I am weightless on my upper half and literally "have a weight lifted off my chest". I can walk around with a button shirt and not worry about my buttons popping open! The symmetrical and size are perfect. He wouldn't go lower than a full D because of my body type. Honest!! And Professional! Thanks Dr Palaia!