This 50-year-old female consulted with Dr. Neaman at Neaman Plastic surgery to discuss a cosmetic breast reduction after years of neck and upper back pain. She also felt that her breasts were too big in comparison to the rest of her body. Dr. Neaman discussed various techniques for performing a breast reduction and recommended a short scar vertical style breast reduction to decrease post-operative scarring. She underwent the procedure at an outpatient surgery center and went home the same night. She had an uneventful recovery and is very happy with the improvement in her breast shape and nipple position.