Our patient here is 38 years old and came to Cosmetic Surgery Affiliates interested in a breast reduction. In her consultation she expressed concerns on the size of her nipples and mentioned the larger size of her breasts were causing upper back pain as well. After her consult it was determined that Dr. Nuveen would perform a breast reduction. Before and after photos are presented 6 months post procedure. She is left with a more appropriate breast size to her body as well as proportionate nipple size.