This 31-year-old female complained of typical symptoms attributed to large breasts: neck pain, back pain, shoulder grooving, and difficulty finding appropriate clothing. She sought out Dr. Steele for his expertise in breast surgery. After confirming candidacy for a breast reduction, she underwent a superior-medial pedicle vertical reduction removing nearly one pound of from each side. Dr. Steele takes care to rearrange the remaining tissue into an aesthetically pleasing breast that is proportional to the patient’s body. Her 3-month photographs show smaller, very symmetric breasts with an excellent shape.