This 60 year old woman who is 5’ 7” tall and weighs165 pounds, complained of back and neck pain and shoulder grooving. She was wearing a a 40-DD cup size bra. She had a breast reduction with a medial pedicle technique. 597 grams of tissue was removed on right and 504 grams on left. Her final bra size 40 B-C. The post-operative pictures were taken 14 months after her breast reduction surgery.