Age 41, height 5′, weight 115 pounds, has 3 children. She wore a DD bra size and complained that she had to stop working out because of pain associated with the heaviness of her breasts. She was mostly concerned about the sagging of the breasts and not so much excess volume. She wanted to be more comfortable and not have pain because of her breast size or droop. She had a bilateral V-to-T mastopexy (breast lift) with a small reduction of breast tissue(75 grams removed from each side). The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.