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Reduction mammaplasty has been shown to de-crease back and shoulder pain, improve breast aesthetics, enhance self-esteem, and improve both self-confidence and overall happiness.1,2 Breast reduction has one of the highest patient satisfac-tion rates among plastic surgery procedures. About 93 % of women reported in a study3 that they would undergo the surgery again. As the benefits of breast reduction have become established, and with the rise of adolescent obesity, many patients undergo reduc-tion mammaplasty at a young age. This population is most susceptible to changes in breast morphology due to subsequent life events.4 Aging, pregnancy, breast-feeding, and weight loss can all negatively impact the results of a previously successful breast reduction. About 14 % of patients in another study5 who become pregnant after breast reduction were less satisfied with their breast shape due to increased ptosis