Patient is a 45-year old woman who presented with large breasts measuring in the DDD cup range. In addition to not liking the large size of her breasts, she was bothered by long-standing neck and shoulder pain due to the excess weight from her breasts. She desired a breast reduction procedure to reduce the size of her breasts. A breast reduction surgery was performed and approximately 700 grams of breast tissue was excised from each breast and the nipples lifted to their normal position. She noticed resolution of her neck pain one month after her procedure. Scars with continue to mature and lighten up over time.