Patient is a 29 year old woman who presented with complaints of breast enlargement, back pain, shoulder pain, and shoulder grooving. In addition, she was unhappy with the appearance of her enlarged areolae. She underwent bilateral reduction mammoplasty with improvement of her symptoms and breast aesthetics. In addition to a reduction in her breast volume, her reduction provided the decrease in her areolar size that she desired. She is seen her 4 months after surgery.