20-year-old female accompanied by her parents to discuss bilateral breast reduction. She reported a lot of neck and back pain because of her breasts, which has been going on for at least 5 years. She has tried to control this pain with ibuprofen and by wearing two bras on a daily basis. She currently wears a 38 DD and isn’t sure how small she needs to go to alleviate her pain. She has looked at before and after pictures of breast reductions on my website, and is hoping for similar results. Height is 5’2″. Weight is 150 pounds. She had a bilateral breast reduction with a total of 500 gm removed from the left breast, and 600 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.