Breast reduction surgery can be life changing, particularly in the young patient who may have developed early and has breasts that are large, misshapen and out of proportion to the rest of her body. This young lady was very unhappy with the large elongated shape of her breasts and the mal-position of her nipples on the undersurface of her breasts. With one surgery and a short recovery, she says her life is changed. She can wear normal bras, her clothes fit better and she looks overall thinner. She is able to exercise without back, neck and shoulder pain and she participates much more with activities with her friends. Truly this is a life changing operation.