This 50 year old female underwent a breast reduction with Seattle plastic surgeon Dr. Joshua Cooper at Sound Plastic Surgery. Notice the dramatic and life-changing difference in the size of her breasts! A breast lift is included with a breast reduction, and this case illustrates that point very nicely. In the before photos, her nipples are low on her breasts and are close to her umbilicus (belly button). As with all of his breast reductions, Dr. Cooper uses a superio-medial pedicle to provide a nicely shaped breast. Additionally, this allows Dr. Cooper to remove all of the heavy breast tissue located in the lower portion of the breast.