Breast Reduction

Breast reduction surgery is designed to reduce the size of the breasts and the excess weight that leads to symptoms such as back, neck or shoulder pain. It also restores the overall shape of the breasts and places the nipple/areola back in a more youthful position.

Candidates for breast reduction include patients with large breasts, with nipples and areolas that lie low on the breast. Often, women will have symptoms of back, neck, or shoulder pain secondary to their breast size that may limit their ability to exercise. Some women develop skin irritations or rashes beneath their breasts, which commonly occur during the summer months. Indentations in the shoulders from the bra straps (i.e. shoulder grooving) may also be present. On occasion, some women seek breast reduction surgery for breasts that they feel are too large and out of proportion to their bodies.

Breast reduction can be performed at any age, but it is usually recommended to wait until breast development is complete. Pregnancy and breastfeeding may have significant effects on breast size and shape. Some women may elect to have a breast reduction prior to having children. Breast reduction surgery may affect your ability to breastfeed; this will be discussed at your consultation.

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Before & After

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Before & After

Explore images of our previous patient procedures. Click on the thumbnails below to see different patients, and drag the bar on the left to compare imagery.*

* Actual patient. Results may vary.

During the consultation, you will be asked about your desired breast shape and size. Dr. Mitchell will examine you, taking measurements and perhaps photographs for your medical record. Breast size and shape, skin quality, and placement of the nipples and areolas will be carefully evaluated. Other important factors that will be discussed include any personal or family history of breast problems or diseases, previous surgeries, plans for significant weight loss or pregnancy, and any breast imaging studies you may have had. Depending on your age and risk factors for breast cancer, a screening mammogram may be needed before surgery.

Once the examination is complete, Dr. Mitchell will discuss your options regarding different techniques and the placement of incisions. Potential risks and complications related to breast reduction surgery will be outlined. Dr. Mitchell will spend as much time as necessary to make you feel completely comfortable with your decision and answer all your questions.

Surgical Technique / Incisions

There are many techniques for performing a breast reduction. In essence, all techniques remove breast tissue to reduce breast weight, help lessen the symptoms caused by your enlarged breasts, and remove some skin to tighten the skin envelope covering the breast tissue. In addition, all techniques address the nipple and areola position by elevating the nipple/areola complex to a more proper position on the breast.

The most common method of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease. Dr. Mitchell commonly performs breast reductions without the horizontal scar (i.e., the vertical breast reduction). In addition, he utilizes the latest techniques of internal breast reshaping to give the best possible postoperative breast contour and longest lasting result.

Breast reduction surgery is typically performed either as an outpatient procedure or with an overnight hospital stay. All sutures are placed internally to avoid painful suture removals. Dr. Mitchell always tries not to use of surgical drains; however, for some, these may be necessary depending on the technique best suited for you. Some bruising and swelling can be expected, which typically resolves within a couple weeks.

With all procedures, the breasts may appear to sit initially high on the chest wall, but will descend over the course of the first month into a natural breast contour. Recovery is excellent, with most women returning to normal activities within a few weeks.

Contact us today or call at 402-483-8530 to schedule a consultation with Dr. Mitchell.


No matter how much independent reading you do you cannot expect to truly be ‘ready’ for the process involved following a double mastectomy with reconstruction. Dr. Mitchell presents information in a clear way and in a way that is unique to you. His demeanor is a quiet one, but I always felt he was concerned and attentive to my situation. My experience, like most, doesn’t follow a completely predictable pathway. Dr. Mitchell has the experience and a calm deliberate practice that is reassuring when all else seems chaotic.

*Actual patient. Results may vary."

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