This is a 52 year old woman from Coshocton, Ohio who came to The Columbus Institute of Plastic Surgery to consult with Dr. Bivik Shah about having a breast reduction. She had troubles with back pain and was uncomfortable wearing anything too revealing in public. She and Dr. Shah decided that she would benefit greatly from this procedure. She had approximately 0.8lbs removed from the left and right breasts. The after photo was taken a year after surgery.