BEFORE PHOTOGRAPH: This is a frontal view of a 24 year old woman in whom approximately 2 pounds of tissue was removed from each breast during breast reduction surgery.  Removal of such a significant weight of tissue from the front of the chest can have profoundly positive effects on a woman's back pain, posture and self confidence.  Quite visible in this photograph are the "shoulder grooves" from tight bra straps that many women with large breasts have.  Tight bra straps can cause a woman severe pain in a number of ways.