This patient is a 58 year old woman. She came to The Columbus Institute of Plastic Surgery from Lancaster, Ohio for a Breast Reduction Surgery. She had a significant amount of back and shoulder pain due to her large breast size. It was recommended that she have some of her breast tissue removed to help bring her more comfort. Dr. Bivik Shah removed tissue from both breasts and she is now much happier. The after photo was taken 4 months after surgery.