This 38-year-old young woman at 5-5 and a weight of 285lbs wore a 44 H bra and had severe neck, shoulder and back pain which also caused her to have trouble breathing when she laid on her back at night. She wore several bras to try to support her large breast size. She is seen 1 year after surgery, delighted to be wearing a 42 DD bra and able to breath comfortably and enjoy an active, pain-free life style.