This lady has functionally struggled with back pain and discomfort and aesthetically was concerned about the asymmetry and the size and shape of her breasts. Breast reduction often alleviates the functional problems and aesthetically a lift and reduction has helped this lady improve her quality of life. The photos are shown at 4 months postop and the redness of the scars around the areola and down and along the breasts are starting to settle. Breast reduction has been shown to improve quality of life and with improved techniques the risk of loss of sensation has been reduced. There is also no need to place drains and patients are often mobilizing immediately after surgery.