A woman in her early 50’s who is bothered by drooping and the size of her breasts. She described herself as a 34 DD-G cup before surgery and had problems with grooving and irritation of the shoulders, back pain, a rash under the breasts in the warmer months, and difficulty exercising due to the size of her breasts. She is a runner and wished to be closer to a middle C cup. She also felt that her breasts were out of proportion to her frame and was a size 6 in pants and a size 10-14 in tops. She is shown before and again, 7 ½ months after bilateral breast reduction including liposuction of mild lipodystrophy in her anterior axilla that would show in an off the shoulder dress. She is 5’ 7 ½ “ and 157 lbs and had a superior pedicle/ Short T scar technique with the removal of 421 gms of tissue from her left breast and 381 gms of tissue from her right breast, along with Power assisted liposuction of the anterior axilla using the S. A.F.E. technique. Her symptoms have resolved and she is thrilled to be able to run without her breasts getting in the way. Scars will typically continue to fade and improve for 2 years or more after surgery.