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.


In September 2008 I was diagnosed with breast cancer for the second time in my life. Because of treatment I had received 23 years prior, I chose to undergo a double mastectomy with reconstruction. I did some research and visited a couple of surgeons in Lincoln; I actually made an appointment for surgery with one of them. I was also referred to Dr. Cassidy Mitchell. After speaking to him on the phone and meeting with him, I chose to change doctors and have Dr. Mitchell help me with this challenge. Dr. Mitchell was new to Lincoln then, but I felt very confident about how he was approaching my surgery and about his compassion towards me as a woman and patient facing a very difficult surgery. I have never regretted that decision. I am very happy with the results, but most of all, Dr. Mitchell approached the choices, surgery, recovery and reconstruction in a way that made me feel comforted, confident and as though I was in charge. That was important to me at a time when women often feel like their lives have gone completely out of control. I highly recommend him as a surgeon. His work is impeccable. I also have to say my general surgeon, Dr. Carolyn Cody, and the nursing staff at Bryan West Campus was also incredibly supportive. What a team. I am blessed. I’m cancer free, making music with my husband, and moving on with life. Thanks to all of you at Bryan. Thanks, Dr. Mitchell for helping me, for sharing your talent, and treating me with kindness. I’ll never forget it.

*Actual patient. Results may vary."

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