This was a very large breast reduction plastic surgery, performed over 20 years ago. She has several issues. Her breasts are asymmetric in many ways, including volume, nipple positions, breast creases. The greatest issue is the distance of the nipple from the chest wall. There is considerable risk in reducing a breast this large because the blood supply to the nipples is very long. With the breast gland removal, the blood vessels can be cut or kinked when trying to reposition the gland to a higher position. She had no complications after the breast reduction. She would absolutely benefit from removing more skin from the right breast. This would raise and reshape that breast…