Inclusion Criteria:  Being over the age of 18 Undergoing bilateral reduction mammoplasty at the Hutchinson Metro Center of Montefiore Medical Center, Bronx, New York  Exclusion Criteria:  Oncologic breast reduction Unilateral breast reduction History of thromboembolic disease History of bleeding diatheses History of stroke History of seizure disorder Currently pregnant Severe comorbidity (defined as American Society of Anesthesiologists (ASA) fitness grade IV or above)