Free nipple graft techniques used with breast reduction can be used for surgical reduction of the largest breasts. The nipple is usually repositioned as a free graft on the breast. An "Inverted-T" excision of breast tissue is the most common pattern of reduction. All of the breast ducts and nerves are severed from the free nipple graft. Therefore, breast feeding is not possible and sensation is diminished following free nipple grafting. Furthermore, the nipple may permanently lose its pigmentation. Pattern of skin excision was vertical and horizontal giving rise to an "anchor" or "Inverted-T" scar | Vascular circulation to the nipple and areola was reestablished with free nipple graft techniques | Quantity of breast excised was of massive weight (right 1275g, left 1148g). Photographic documentation was obtained at 6 months and 2 years 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.