This 35 year old mother of 3 had heavy breasts (36DD bra) that pointed downwards, so she came to Minneapolis Plastic Surgery requesting both breast lift and moderate reduction to a B-C cup. (This did not qualify for insurance reimbursement.) She underwent a Wise-pattern (anchor) breast lift and shaping of her breasts with “cosmetic” (non-insurance) breast reduction, but without detaching her nipple areola complexes and thereby preserving sensation. Her outpatient operation was performed in our on-site surgical facility under a light general (TIVA) anesthetic that allowed rapid, comfortable wake-up with no nausea or vomiting. At 3 months post-op her scars were hypertrophic (genetic tendency to overgrow scars), but they responded to silicone scar pad therapy and faded over the subsequent 12-15 months.