This 41 year-old young woman wore a 36D+ cup bra. She had developed shoulder grooves, experienced breast pain and neck, shoulder and back pain. She developed a rash under the breast recurrently and has had great difficulty continuing to run because of the large heavy breasts. She is 5-5 and 142 lb. She is seen 6 months after her breast reduction, now wearing a B cup and very active without back pain.