This patient complained of neck, back and shoulder pain for many years. She lost 85 pounds and her breast size did not change. Her breasts felt heavy and contributed to her poor posture. After meeting with Dr. Lapuerta and getting her insurance to approve this procedure, she also had an extended tummy tuck performed at the same time. Almost 1 year after surgery she has never felt this good. She is happy with her decision and wishes she would have done this years ago.