This woman in her mid-fifties was experiencing symptoms of macromastia in her daily life such as back and neck pain, difficulty reaching and exercising, and skin abrasion from breast folds. Despite weight loss, none of her symptoms were relieved. She expressed in interest in a more proportional look (full C / small D cup). She and Dr. Howell, who performed her surgery, have been extremely happy with her results. She has great shape and symmetry and is pictured before and three months afterwards.