Patient is a very pleasant 54-year-old female who underwent a bilateral breast reduction. She was having significant symptoms related to neck and back pain after failing nonsurgical treatment. She had pre-existing breast asymmetry. 530 g was removed from the right breast and 362 g in the left breast. She had excellent improvement with her neck and her back symptoms following surgery and she has a very natural looking result. Her post-op orders are 6 months after surgery.