CASE DESCRIPTION: This is a 45-year-old San Francisco resident seen in the San Francisco office. She is 5 feet 5 inches, 220 pounds, with size GGG breasts. She underwent an inverted T free nipple breast reduction due to the extreme size of her breasts. She is seen four months after surgery with early healing, but note the nice size and shape of her breasts. She went from GGG to a D cup.