Breast reduction surgery is often associated with a high patient satisfaction rate. Typically patients who wish to undergo breast reduction surgery have had symptoms of neck, back, or shoulder pain. There is often grooving in the shoulder from the bra straps and there is hypertrophy of the trapezius muscles. The large breasts can often get in the way of exercise or working out and can make weight loss difficult in a time in ones life when body image is important. Large breasts are often not something one can simply change with discipline to diet or exercise and can be frustrating for the patient. The symptom relief from breast reduction surgery is often immediate as well are the improvement in the “psyche” and “self-esteem” of the patient. The photographs depict an early two-week post-operative result.