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Breast Reduction
in Birmingham, AL

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Breast Reduction

Breast reduction surgery, or reduction mammaplasty, is a surgical procedure that removes excess breast tissue to produce a smaller, more lifted breast appearance and addresses many concerns that accompany having large breasts. Women seeking a breast reduction often suffer from discomfort and pain caused by having overly large breasts. Patients may seek a breast reduction for reasons including interference with normal daily activities, a negative body image, or self-esteem issues.

Achieved With Breast Reduction

Your Breast Reduction Surgery

  • Breast reduction surgery is performed on an outpatient basis using intravenous sedation or general anesthesia. Dr. Cohn will recommend the best option for your procedure.

  • Dr. Cohn performs breast reduction surgery using the following incisions:

    • Keyhole, or racquet-shaped, incision: The incision will be made around the areola and extend vertically down to the breast crease.
    • Inverted T, or anchor-shaped, incision: This technique involves placing an incision around the areola that follows down to the lower breast and continues along the inframammary fold.
  • During your breast reduction surgery, the underlying breast tissue will be removed and reshaped to a more pleasing appearance. The nipples and areolas, which remain attached to their original blood and nerve supply, will also be repositioned. For patients with severely large breasts, the nipples and areolas may need to be moved to a higher position using the free nipple graft technique. The incisions will then be closed using surgical sutures and tape.

Woman with a shapely body



The success of your breast reduction will depend on your participation during the initial consultation. This appointment will involve a thorough discussion regarding your medical history and aesthetic needs. Dr. Cohn will perform a physical examination, take photos, make detailed measurements, and note the amount of breast asymmetry, if any, that needs to be addressed at the time of your procedure.


Following your procedure, surgical dressings will be applied along the treated area to support your new contours and minimize swelling. A drainage tube may also be placed to collect any excess blood or fluid. Swelling and bruising will likely occur but should resolve after a few weeks. Be sure to avoid all strenuous activities until cleared by Dr. Cohn.


When possible, Dr. Cohn will place incisions in inconspicuous locations during breast reduction. Any scarring that does occur can be hidden underneath clothing and will most likely fade over time.


You may experience some pain after your surgery. Dr. Cohn will give you specific instructions on how to care for your incisions, which medications to take, how to reduce the risk of infection, and when to make a follow-up appointment.

Frequently Asked Questions

  • Patients can expect long-lasting results that will boost their appearance and confidence following their breast reduction procedure. Final results will become apparent approximately one year after your surgery.

  • Liposuction can be combined with breast reduction surgery to remove excess fat. Abdominoplasty is often combined with breast reduction surgery, producing a rejuvenated upper torso appearance. You can learn more about combining these procedures at Mommy Makeover.

  • As with most surgical procedures, there are some risks involved with breast reduction surgery. These include:

    • Asymmetry
    • Bleeding
    • Blood clots
    • Change in skin sensation
    • Infection
    • Poor wound healing

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