Huge breasts cause great physical and mental pain to patients. On the one hand, huge breasts pulling and pressing cause headache, neck and shoulder pain, upper limb pain, and even affect breathing. In summer, eczema and erosion of the skin in the inframammary folds, and because of huge breasts, it is impossible to exercise, and at the same time, they have to endure strange stares from other people. In 2006, a total of 145,822 breast reduction surgeries were performed in the United States, ranking fifth in cosmetic surgery. Breast reduction surgery is somewhere between plastic surgery and cosmetic surgery, on the one hand it is a cure, so it is paid for by US health insurance (excluding breast lift), and on the other hand it has aesthetic requirements. There are many different surgical methods for breast reduction, but the vertical incision for reduction mammaplasty is currently recognized as the better surgical method. Although there is an additional longitudinal incision than the double-ring method, the postoperative appearance is good and the scars are not very visible. Post-operative follow-up of patients with breast reduction, patients were particularly satisfied with the results. One month after surgery, the patient’s results had not yet reached the most ideal state, so why was she so satisfied? After the surgery, although there was no longitudinal scar, the ring areola scar was obvious, and the areola was stretched out by tension, the breast was flattened and the breast position was low. We performed a repeat surgery with vertical incision breast reduction and the results were excellent. For this patient, breast reduction surgery was a difficult journey. The patient underwent a double-ring reduction mammaplasty, and because of the poor surgical results, she switched to vertical incision reduction mammaplasty to complete her dream of breast remodeling. Through this surgery, I realized once again why vertical incision breast reduction is the mainstream method of breast reduction and reconstruction.