A mother of 2 in her later 30’s who is a 32 double H bra and has problems with back and neck pain, irritation of her shoulders from the bra strap and a rash under the breasts in the warmer months. She is 5’5” and 152 lbs and is shown before and again, 1 year after an inferior pedicle short T scar breast reduction with the removal of more than 1150 gms of tissue from each breast. The nipples were pointing to the inside before and were brought back to the median of the breast. She has significant drooping and internal plication of her tissues were used to add more support. Scars will continue to fade and improve over the next 12 months or more. Her symptoms have all resolved and she is thrilled with her new shape and size.