*This is another example of surgeons being light on their feet. This 59 year old woman presented with a right breast cancer. Her general surgeon told her it could be treated by lumpectomy and radiation. This patient had breasts that were too large and a breast asymmetry. Her general surgeon and reconstructive surgeon made an operative plan together. It consisted of using a SPAIR breast reduction skin pattern bilaterally (both sides) including the micro-calcifications in the right breast in the tissue to be removed and at the same time completing a left sided breast reduction, using the same incision pattern but taking off more tissue on this breast to correct the asymmetry. This one year result is a combination of removal of cancerous breast tissue, and a bilateral breast reduction along with correcting a fairly significant breast asymmetry.