Description: Small breast reductions refer to low weight excisions in the range of 250 - 600 grams of tissue. Small breast reductions can often be treated as an extensive breast lift. The mild to moderate degrees of sagging responds wonderfully to vertical breast techniques where the vascularity of the nipple is preserved by using a superior pedicle. Pattern of skin excision was vertical giving rise to a short vertical scar in the shape of "lollipop" | Vascular circulation to the nipple and areola was preserved by maintaining a superior pedicle of tissue attachment | Quantity of breast excised was of low weight (right 322g, left 336g). Photographic documentation was obtained at 2 weeks and 7 months after surgery. Note that surgical cases of Dr Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients.