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This 19 year young lady, 5’3” and 134lb., developed excessively large breasts at an early age and wore a 34F cup size. She sought chiropractic and physical therapy care with no relief of her neck and back pain. Her large and heavy breasts had a negative impact on her quality of life due to the pain they caused and she was no longer able to enjoy her previous activities like triathlons. She had breast reduction surgery and is no longer restricted by the pain stemming from her large, heavy breasts. She is seen 13 months post op wearing a 34C cup size feeling grateful she is no longer limited in her activities.