Skip to main navigation

Breast Reduction
in Birmingham

Breast reduction, also known as reduction mammaplasty, is a procedure that removes excess breast fat, glandular tissue, and skin to achieve comfort for patients with overdeveloped breasts. Overly large breasts, also known as macromastia (or breast hypertrophy), may cause physical discomfort such as back pain as well as emotional discomfort and self-consciousness.

Breast reduction not only treats people who deal with medical issues due to the excessive weight and size of their breasts, but this procedure can also be beneficial for people who are simply not happy with their large, pendulous breasts.


What Can Breast Reduction Do for Me?

Shapely, Balanced Breasts

When the breasts are extremely large, the weight tends to pull them downward and, over time, they become saggy and pendulous. Overly large breasts may also make some women appear top-heavy and their bodies out of proportion. Breast reduction can improve the shape of your breasts and balance your figure.

Alleviate Physical Pain

Many women with overly large breasts experience medical problems such as back pain, neck pain, shoulder indentations from bra straps, and headaches. Breast reduction can alleviate the pain an individual might be enduring from the weight of their large breasts. It can also allow them to move more freely and improve their ability to exercise.

Comfort and Confidence

Large breasts can draw unwanted attention and make some females self-conscious about their appearance. Breast reduction surgery can boost self-confidence and allow women and girls to be comfortable within their own bodies with a breast size that suits their age and physique.

What Does Breast Reduction Involve?


Breast reduction surgery is performed in a hospital in Birmingham as an outpatient surgery, although some of our patients choose to stay the night in the hospital. The operation takes about 3 to 4 hours, and the patient is put under general anesthesia.

The Incision

A circular pattern incision is made around the areola that extends vertically down the breast tissue toward the breast fold.

Depending on the amount of excess skin, there may be an extra incision made along the crease beneath the breast (known as the inframammary fold).

Repositioning and Removing Breast Tissue

The breast tissue is rearranged and tightened to provide a more lifted, supported appearance.

The breast tissue is reorganized within the breast skin “envelope” using sutures, and excess tissue is removed. The skin of the breast is then tightened and excess skin is removed to support the new breast size and shape.

In almost all cases, the nipple remains connected to the underlying breast tissue.

Closing the Incision

The breast is reshaped by bringing the incisions together. Sutures are layered in the breast tissue to support the reshaping of the breast. Most of the incision lines will eventually fade away in time.



After surgery, the incisions will be bandaged. The patient is allowed to resume most normal activities several days after surgery. However, any physical activity that may cause bouncing or significant movement of the breast tissue should wait until a couple weeks after surgery. Depending on the amount of breast tissue removed, the doctor may recommend a draining tube to be placed within the breast several days after surgery.


Scars can be somewhat pronounced during the first several months as they mature, but they typically fade over the first year to become less visible.


Breast reduction is a surgical procedure that requires extensive knowledge and skill. This level of experience plays an important part in the overall cost of your breast reduction.

The final cost of your breast reduction will vary depending on surgeon’s fees, anesthesia fees, facility fees, pre-surgical tests, post-surgical dressings, and geographical location.

We will be able to provide you with an accurate cost estimate during your consultation. In some cases, insurance may cover some or all of the breast reduction cost.


Patients may experience soreness, bruising, and swelling that will gradually resolve over the first couple weeks. You can wear a support bra to decrease any swelling. If pain worsens, you should contact your plastic surgeon.


Birmingham , AL

Everyone was very nice and professional about the whole experience. Any and all questions I had were answered, they even offered ideas that I had no idea were possible so that I get the best quality surgery possible. Everyone was so excited for me to finally be able to get the body I want!

Birmingham Breast Reduction Patient

Frequently Asked Questions

Any woman not happy with her large breasts, whether due to pain and physical discomfort, emotional discomfort, or simply wanting smaller breasts, may be a good candidate for breast reduction surgery. Ideal candidates are healthy non-smokers who have realistic expectations.

Patients can expect their breasts to be slightly lifted and substantially lighter than before. Many women will notice they have less pain in their back and neck as well. As bruising and swelling subside within several weeks, patients will see their breasts taking on a smaller, more natural shape. The results of breast reduction will be long lasting.

Breast reduction surgery is performed by rearranging the internal architecture of the breasts to provide a more lifted, supported appearance. However, the main goal of breast reduction is to reduce the overall volume of tissue in the breasts, and a breast lift may be recommended to correct breasts with significant droop (ptosis).

In the majority of cases, women do not have significant changes in nipple sensation following breast surgery. Risks for such changes increase in breasts that require more extensive movement/elevation of nipple position or that require larger volume reductions.

Science has shown that the overall success rate of breastfeeding following breast surgery is similar to the overall success rate of breastfeeding in women who have not undergone breast surgery. Essentially, one-third of women are able to successfully breastfeed after surgery, one-third of women have no desire and do not attempt to breastfeed, and one-third need to supplement their breast feeding with store-bought formula. As a general rule, breast reduction surgery is best done following completion of all anticipated pregnancies so that post-partum changes do not negatively impact the final surgical result and interference with successful efforts at breastfeeding are minimized.

Different insurance policies have differing criteria for determining insurance coverage for the cost of breast reduction surgery. Some companies require that a certain amount/weight of breast tissue be removed in order to meet coverage criteria, while other policies require documentation of negative symptoms and failed non-surgical management prior to surgery. During your consultation, you will have an opportunity to meet with our friendly and knowledgeable clinical coordinators who will be able to assist in determining if your particular policy provides coverage for breast reduction services.

Male breast reduction as a treatment for enlarged male breast tissue (known as gynecomastia) should be approached differently than breast reduction for females. Dr. Grotting and Dr. Cohn offer breast reduction surgery specifically for men to achieve a flatter, more masculine chest contour.

Like any other surgery, there are risks or negative symptoms that could happen with breast reduction surgery. While relatively rare, some possible complications of breast reduction surgery include:

  • Infection
  • Bleeding
  • Blood clots
  • Poor wound healing
  • Skin discoloration
  • Fluid accumulation

Contact Us

  • This field is for validation purposes and should be left unchanged.