Women with extremely large or sagging breasts can be both emotionally and physically uncomfortable. According to Dr. Placik, a Chicago plastic surgeon, they may suffer from back and neck pain, irritation under the breasts and soreness where brassiere straps cut into their shoulders. Also, these women could be very self-conscious about the size of their breasts. Another problem that these woman may suffer from is an inability to find attractive, properly fitting clothing; sometimes it will be required that they buy costly custom made clothing and support garments. For these women, a breast reduction may be necessary.