42 year old female with discomfort of her neck, shoulder and back with limitation of activities due to large breast size. She has shoulder dents and rashes with difficulty finding clothing that fits wearing 36DDD bra. She wants to be a 32C cup size. Post-op pictures are early to show the healing process, with some residual swelling of scars under her arms. These scars will fade with time and she will not likely need any scar revision once the swelling subsides.