The patient's consultation with Armen Vartany, M.D. in Burbank, CA, centered on shoulder pain, bra strap grooving, and limitations in physical activities due to oversized breasts. Desiring smaller breasts that would be more suitable for her lifestyle, the patient underwent a breast reduction surgery performed by Dr. Armen Vartany. The procedure addressed her concerns and achieved the desired outcome, improving her comfort and functionality.