This 41 year old client was unhappy with the size of her large sagging breasts. They were causing bra strap shoulder grooving along with shoulder, back and neck pain. In addition, she did not like the way her clothes were fitting. She decided to have a Bilateral Breast Reduction using an anchor incision. Her bra cup size before surgery was 40-D and is now a 40-C. The post photos were taken 17 months after surgery.