Why choose a breast reduction?

For many women, excessively large breasts result in discomfort and soreness, and can have a negative impact on daily life. Disproportionally large breasts can make it very difficult to find clothing that fits. Exercise and playing sports can be near impossible. Many women with large breasts have considerable back, neck, and shoulder pain — and it can be difficult to even sleep comfortably. For others, the issue is aesthetic. These are just a few of the reasons why a woman may choose to undergo a breast reduction. At Alabama Plastic and Reconstructive Surgery, we love to perform this surgery because we can see how transformative and rewarding it is for our patients.

About breast reduction

A breast reduction makes the breasts smaller by removing excess skin, fat, and glandular tissue. The procedure also tightens, lifts, and re-shapes the breasts, and an areola/nipple reduction can also be done during the same surgery if needed. This results in a balance that is more proportional and attractive, as well as alleviating strain on the back, neck, and shoulders.

Prepare for recovery

One of the most important ways to get ready for your breast reduction is to prepare your home for recovery. This means having certain items in stock, such as cold compresses, clean towels, washcloths, gauze, any medications and/or topical products that were discussed during your consultation, and plenty of loose, comfy clothing. Button-up shirts are a must for breast reduction recovery, as it will be difficult for you to lift your arms for a little while. In addition, you’ll need to arrange for a friend or family member to drive you home after surgery and stay with you overnight in case you need help.

Surgical details of a breast reduction

Dr. Bauer performs a breast reduction with the patient under either general anesthesia or IV sedation. Your skin will be marked to help guide him, with the incision pattern being determined by your breast size and the position of the nipples. (The incision pattern will be discussed during your consultation.) Dr. Bauer will carefully make an incision around the areola that reaches underneath the breast.

From this incision, excess skin is removed from the sides of the breasts. The tissue that remains will be lifted and contoured to create a tighter, smaller appearance for the breasts. After this, for some patients the areola and nipple will also be moved. Once this is complete, the incisions will be closed with sutures to support the newly-shaped breasts.


  • Most patients are able to resume sedentary type work approximately one week following surgery
  • Bruising, stiffness, soreness, and possible rashes are to be expected
  • Lifting your arms will be difficult for a few days
  • Sleeping upright for two weeks is recommended
  • You’ll need to wear a surgical bra for about a week, after which time you may switch to a soft bra 
  • No underwire bras for three months following surgery
  • You may need to have drains placed to help collect fluids (these cannot be submerged in water)
  • Avoid lifting anything over a pound for two weeks
  • Keep your incisions clean, and don’t put pressure on them
  • Light exercise is usually fine after four weeks
  • Strenuous exercise is to be avoided for six weeks

Breast and Body Procedures at Alabama Plastic and Reconstructive Surgery


A breast reduction in Montgomery AL has the ability to change breasts from being a burden into a blessing. Early results begin to appear a few weeks after surgery, and final results should be settled after a few months. Patients are thrilled with their newfound freedom to comfortably run, jog, play sports, exercise, and move in general. Clothing fits more nicely, and the neck, shoulder, and back pain is greatly relieved.

Candidates for a breast reduction

  • Are unhappy with their disproportionately large breasts
  • Have fully developed breasts
  • Have limitations in their life due to their large breasts
  • Have neck, shoulder, and/or back pain due to their breasts
  • Are often embarrassed by the size of their breasts
  • Frequently have a hard time finding clothing to wear 
  • Have completed breastfeeding
  • Are non-smokers in overall good health
  • Have realistic expectations for the surgery

ALPRS for breast reduction surgery

A breast reduction delivers amazing results and can be truly life-changing for women whose overly large breasts have become a problem. If you’re interested in this procedure, we invite you to reach out to us to set up a consultation. Board-certified Plastic and Reconstructive surgeon Dr. John Bauer will take excellent care of you, from beginning to end. He will fully educate you on the procedure and what to expect during recovery.

Alabama Plastic and Reconstructive Surgery

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