A pleasant 33-year-old female who presented to discuss options for “breast reduction and lift”. She is married and has two children, (both were breast fed), and she does not plan to have any more children. Since her last pregnancy, she developed a lot of “droop” in her breasts. She also feels like her breasts are disproportionately large for her small frame, she is 5’1″ and weighs 140 pounds. She complains of frequent back pain and shoulder pain, and has a hard time finding bras that have thick enough straps that do not dig into her skin. She also feels like her breasts cause her to have poor posture, and she has adjustments with her chiropractor regularly. Her goal is to have smaller breasts that are still attractive and proportional to her body. She is hopeful that it will help with her discomfort. Our initial conversation revolved around the discussion of a breast lift versus a breast reduction. With all breast reductions, I explained to her that is built into the operation to simultaneously perform a lift, that is to correct the nipple position. She had a bilateral breast reduction with a total of 190 gm removed from the left breast, and 235 gm removed from the right; with nipple position corrected as well (see images). The procedure was performed on an outpatient basis under general anesthesia. Results shown at 3 months.