19-25 year old female who had neck and back pain associated with large breasts. The patient lives a very active lifestyle and wanted smaller breasts that fit her body and lifestyle better. The patient was also interested in lifting the breasts and improving overall symmetry. The patient underwent a bilateral breast reduction and lift to achieve her goals. In the post-operative photos, the breasts are lifted and reduced in size to better fit her frame. Also, the patient reports significant improvement in the neck and back pain.