Symptomatic macromastia is a constellation of symptoms relating to the excess volume and weight of the breasts. Patients often complain of back pain, neck pain, shoulder pain, bra strap grooving or pigment changes, and breast pain. Patients can have poor posture from the weight and position of the breasts on their chest wall. Also, the patients can have rashes or skin problems on the undersurface of their breasts due to skin-on-skin contact (intertrigo). Reducing the volume and weight of the breasts and repositioning the breasts higher on the chest may help to improve some of these symptoms. No plastic surgeon can guarantee specific symptom relief after breast reduction surgery.