Description: 37 year old 5 foot 2 inch 133 lb patient with bra size 32DDD/34DD mother of 3 with neck, shoulder, and back pain and severe frequent headaches.

Description: The left photo shows surgical markings of new nipple height, green markings outline the central saved breast portion, and the red X's mark portions to be removed.

Description: Post-op photos are at 10.5 months.

Description: Weight removed was 357 gm from the right and 379 gm from the left. She still wears a D cup, but no longer overflows the bra.

Description: The patient states symptoms are 97% resolved, headaches virtually gone.

Description: By one year post-op, the patient had completed 3 triathlons.