*For this 44 year old woman it was the “sagginess” of her breasts more than the excess tissue that caused her to have some neck, back and shoulder pain. She had heard about the SPAIR reduction technique that lifts and reduces the breast while creating a very pleasing breast shape that lasts over time as well as reducing scarring. She presented to our office for a consultation. The procedure was described to her and her questions were answered. She scheduled her surgery. Only 210 gms of breast tissue was removed from her right breast and 197 gms from her left. However between the tissue removed and the breast lift her symptoms were resolved and a pretty breast shape obtained. She is shown at one year after her bilateral SPAIR breast reduction.