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. Furthermore, it may be difficult for them to find attractive clothing that fits properly; sometimes it is necessary to buy costly custom-made clothing and supportive garments. For these women, a breast reduction may be necessary.