The patient is a 41-year-old female, who presents with complaints of macromastia. She currently wears a bra that is size 36DD, depending on the manufacturer. She reports significant back pain despite weight loss. She stands for several hours during the day at her job. Her back and shoulder pain along with her macromastia inhibit her daily functioning, especially at work. She complains of significant shoulder grooving from her bra straps. She has tried multiple bra styles, without improvement of the shoulder grooving. She currently requires over-the-counter anti-inflammatories to improve her pain. Following reduction surgery her symptoms subsided and she was very pleased with her results.