A woman in her late 40’s who wore a 42 GG cup bra and was bothered by back pain, grooving and irritation of her shoulders from the bra strap as well as a rash under the breast in the warmer months and difficulty exercising due to the size of her breasts. She is significantly over her ideal body weight at 5’3” amd 239 lbs but was not able to lose weight before surgery. She is shown before and again, just 4 months after surgery with the removal of more than 2 lbs of breast tissue from each breast. And inferior pedicle short T scar technique was used. Scars will typically continue to fade and improve over the next 2 years. She is already pleased with her new shape and size, and her symptoms have gone away.