42 year old, female presents with severe differences in breast size and shape after children. Her goal was to make her breasts more similar in size and shape and to lift the nipple to a more desirable position. The surgery was performed with intravenous sedation and local anesthesia in a total of 80 minutes, resulting in a lifetime of change! She went from a DDD cup size to a full C and can now fit into clothes and bras that are on the rack and not custom fit (and cost). This surgery has great appeal to those women that have finished child rearing, but has been done patients as young as age 14 with severe growth differences.