*For this 63 year old woman one of the most irritating problems she experienced with her large breasts was a constant raw rash under her breasts. She had very dense, heavy breast tissue. Her surgical plan included using liposuction to reduce the volume of the breast tissue in combination with the SPAIR skin tailoring to lift and shape the remaining breast tissue. Approximately 1000 gms were removed from her right breast and 1200 gms form her left. She experienced great relief of her symptoms including relief from the pull of the heavy breast tissue on her back and shoulders.