In the main, they are for breast reduction to combat neck and back pain.

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Adams told TMZ.com that he performed a tummy tuck and breast reduction on West and that her death was unforeseen.

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"There is a huge emergence of local Africans that chose to come to South Africa for elective surgery, whether it be breast reduction, tummy tucks, lipo, " she says.

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Apart from the usual eyelid lifts, botox and nose jobs, the menu features less-known but popular surgical options: ear setback, male breast reduction, hymen repair, vaginal rejuvenation, and abdominoplasty.

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Professor David Sharpe, a consultant plastic surgeon based at Bradford Royal Infirmary, said he had failed to persuade medical insurance companies to pay for breast reduction surgery even in cases where it was obvious that the patient required the operation on medical grounds.

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Higher levels "were associated with a significant reduction in breast-cancer risk, " they wrote.

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They had more room to get down to the dietary goals and they also show stronger evidence of a reduction in breast cancer risk.

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Results from a 9, 366-patient trial showed that those on Arimidex had a 17% reduction in the risk of breast cancer recurrence compared with patients on Nolvadex.

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The decrease in deaths from breast cancer accounted for 37 percent of the reduction in the death rate among women during the 15-year period.

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