*This delightful 47 year old presented to our office to discuss having a breast reduction. It was the ptosis (sagginess) that caused most of her symptoms versus the weight of her breasts. However, ptosis with even a fairly small amount of excess tissue can cause many of the typical symptoms that our breast reduction patients deal with on a day to day basis. She had difficulty with many of her daily activities. Her breast reduction was done using the WISE pattern with a new twist. A surgical technique that prevents long term bottoming out. She has a lovely breast shape and the inframmary fold incisions remain right where they are supposed to be. She is only six weeks out from her surgery but has an excellent result!