Patient is a 20 year old athletic woman who complained of breast heaviness, shoulder pain, back pain, and neck pain. The size of her DD cup breasts exacerbated her back and shoulder pain during athletic activities. She desired a breast reduction for symptom control. She underwent a vertical or “lollipop” patterned breast reduction. She was able to achieve complete symptom relief and an excellent cosmetic result with a minimal incision approach. She is seen here 2 months following surgery, pleased with her new shape.