29-year-old female who visited our practice (accompanied by her mother and grandmother) to discuss options for breast reduction. She is single, does not have any children, and is not sure if she will ever have them in the future. She has struggled with the size of her breasts since she was in high school. She states she started developing breasts in grade school, and by her sophomore year, her breasts had grown to a DDD. She was unable to carry her backpack because of the size of her breasts, so she had to purchase a rolling pack. Over the next several years, her breasts have continued to grow, regardless of weight management. She is now at a 40I bra, but states these do not fit well and may need to be bigger. She has had a hard time finding bras that fit, and orders specialty bras online. She complains of back pain, shoulder pain, grooving from her bra straps, neck pain, poor posture, and headaches due to the size of her breasts. She also had a hard time sleeping because of the weight of her breasts when she lays down, and often has too much pressure in her chest. She has tried wearing two bras at a time, taking over-the-counter medications for the pain, and has seen a chiropractor for adjustments, but this has not helped. Her mother states she has been concerned about the size of her breasts for quite some time and has recommended that she have a reduction done. She has done some research on breast reduction and has seen some before and after photos on my website. She is hoping that breast reduction will help with her discomfort and give her the ability to do more things, such as exercise, without the breasts getting in her way. She would like them to be as small as possible but still have a formed breast. Height is 5’6.5″. Weight is 230 pounds. She had a bilateral breast reduction with a total of 1551 gm removed from the left breast, and 1286 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.