Breast reductions address both the size and position of the breasts and also the position of the nipples. This patient was bothered by two things: the size of her breasts and the fact that her nipples were low. She could never go without wearing a bra. Wearing swimsuits was also very difficult. Her breast reduction focused on making the areolas smaller and lifting her nipples higher while reducing the size of her breasts. She especially enjoyed the skin tightening that resulted from her breast reduction surgery.