This is a 22 year old female who desired a breast reduction secondary to breast hypertrophy. She complained of back pain and shoulder grooving but also did not want to over reduce her breast size. After consulting with board certified plastic surgeon Dr. Neaman at Neaman Plastic Surgery, she decided to undergo a short scar breast reduction in an effort to reduce her breast size and limit scaring. She underwent this as an outpatient at an accredited outpatient surgery center in Salem, Oregon. She had no complications and was happy the reduction of her breast volume.