According to recent research the size of women's breasts are getting bigger and while we are led to believe that the average cup size is a B or a C, it is in fact likely to be nearer a D or an E. This misconception stems partly from the fact that many women are wearing the wrong bra size without even knowing it, and this is because many don't realise that the size and shape of the breasts can change by as much as one or two cup sizes in just 12 months.Women who have what they perceive to be overly large breasts often feel like they are burdened and can suffer not only physically but emotionally and mentally too. While back pain, neck pain and leg pain is common among women with large breasts, what is also common is a feeling that they dominate their life in terms of dictating what they can and can't wear, how self-conscious they feel in swimwear or when meeting new people and all these things can in turn affect new and existing relationships, job prospects and overall self confidence.So, it is important to understand that there is help out there and to understand what this help involves. If you decide that breast reduction surgery is the answer, then read on for how the procedure works and why liposuction techniques can be used as part of the surgery.Breast reduction surgery involves removing excess fatty tissue from both breasts before reshaping and repositioning what is already there so as to ensure the breasts are lifted, full and the right shape for their size and for your body. Liposuction techniques can be used to carry out the former (reducing the amount of excess fatty tissue) and this is often done as follows:The cosmetic surgeon will make small surgical incisions at the side of the breasts near the underarm, or underneath the breast (in the natural crease) through which he or she will insert a thin surgical tube called a cannula. The other end of the cannula is attached to a machine which creates suction and the fat is then removed through the tube. The amount of fat that is removed is decided before the procedure in consultation with your surgeon. Fat removal is an essential part of breast reduction surgery so it is important to understand and how and why it is used before you undergo the procedure.