Patient is a 31 year old woman who presented with complaints of significant breast heaviness and drooping that was exacerbated by pregnancy. In addition to her back and neck pain, she was unhappy with the overall shape and appearance of the breast. She desired reduction of her breast volume and improvement in her breast aesthetics. She underwent an anchor patterned reduction that provided a reduction in breast volume, as well as a breast lift. She is seen 6 months following surgery, pleased with her results.