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This patient presented to my office to discuss shoulder and neck pain associated with the size and weight of her breasts. She reported minimal to no improvement with physical therapy, which led to her referral for evaluation of breast reduction surgery. Prior to surgery, she wore a 30G bra, weighed 165 pounds, and stood 5'2". I performed a breast reduction using incisions around the areola, vertically along the breast, and within the breast crease to remove excess breast tissue, reshape the breasts, and reposition the nipple-areola complexes to a more balanced and aesthetically pleasing location.