This 62 year old mother of two adult children who is 5’ 3” and weighs 114 pounds presented with long standing symptoms of breast and shoulder discomfort, and difficulty with comfortable bras. She underwent a bilateral reduction mammaplasty by Dr. Kalus and is seen before, and three years after surgery. Her pre-operative bra size was 32 DD, and post-operatively she was a 32 C, and ecstatic with her result.