Breast Reduction*

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If you think you would better enjoy life with smaller, lighter breasts, breast reduction surgery may be a good option for you. By reducing the size of the breasts, you’ll have the freedom to exercise comfortably, wear the clothes you like, and participate in activities without being concerned with how your breasts look or feel.


The choice to have breast reduction is personal, and women choose this procedure for many reasons. If any of the following sounds familiar, we encourage you to think about breast reduction surgery:

  • Your back, neck or shoulders are frequently in pain, and you have trouble breathing deeply.
  • You feel self-conscious about having very large breasts.
  • You would like to stop unwanted attention due to your breasts.
  • Bras are very uncomfortable due to chafing and leaving painful marks on your shoulders.
  • You feel limited in your clothing options because of your big or sagging breasts.
  • Sports bras do nothing to improve the comfort of exercise.

For many of our patients, a combination of these issues led them to have this life-enhancing surgery, which can improve both physical comfort and self-esteem: their backs are no longer in pain, posture improves, activity becomes more comfortable, and they’re thrilled with how they look and feel in clothes. In fact, we frequently hear from our patients after their breast reduction, “I only wish I did this sooner.”


Whether your goal is to alleviate pain and discomfort, or you would prefer smaller breasts for other reasons, our surgeons will listen to you. We believe in educating our patients about their treatment options, because you know your breasts best and you should be a partner in the entire surgery experience.

Our board certified plastic surgeons are renowned for creating natural-looking, proportionate, beautiful breasts. Dr. Michael Cohen and Dr. Gary Vela will listen carefully to your goals, answer all your questions and helping you make informed choices about breast implant size, type, and shape.  They will guide you every step of the way and remain in close contact throughout your entire experience.  Our goal is for you to feel as if you just received the best care possible and absolutely love your results.

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We examine at a number of things when deciding your ideal breast size after surgery, including your natural body and frame size, as well as your desired outcome with breast reduction. It is critical to create a breast shape and size that is natural-looking and proportionate to your body.

breast reduction baltimore

Our surgeons will also address any asymmetry between your breasts and nipples to give you a balanced, aesthetically pleasing shape. During your consultation, we will help you understand what to expect from your breast reduction procedure.


If you have extremely large breasts, it’s likely that you’re not so happy with their shape either. You also will likely have a fair amount of sagging. Your Baltimore breast surgeon can also lift and re-position your breasts to provide a more youthful, beautiful breast contour—perhaps for the very first time! Learn more about Breast Lift surgery.

breast reduction in baltimore


If you have extra fat around your breasts, liposuction can help to improve the overall contour and appearance of your new breasts. Keep in mind, however, that liposuction will only address fatty tissue, not glandular tissue or extra skin. While all three are addressed during breast reduction surgery, liposuction is best used to enhance your results and create an overall improved appearance.


Breast reduction typically takes between two to three hours, depending on your individual needs. This surgery will be performed on an outpatient basis with general anesthesia. Because safety is our primary concern, we always work with board-certified anesthesiologists to make sure your procedure is safe and successful.

breast reduction diagram

Your surgeon will remove and sculpt excess fat, glandular tissue and skin to reduce size and reshape your new smaller breast. Additionally, the nipple and areola may be moved to a more lifted, youthful position. While you will experience some swelling after surgery, most patients see the improved shape and smaller size of their breasts right away.


You will be happy to know that many of our patients return to daily activities within the first seven days after breast reduction surgery, including resuming work if they hold a desk job.

It is normal to experience some bruising, swelling and tenderness after surgery, but these symptom will resolve within the first several weeks. You will need to rest at home for the initial two to three days. While all patients heal differently, you should expect the following with your recovery:

  • We recommend taking it easy in bed the day of surgery.
  • Limit your activity for the next two days after surgery.
  • Avoid heavy lifting and strenuous activity for around seven to ten days.
  • With your surgeon permission, you can return to your job within the first week.
  • You’ll likely need to wear a  supportive sports bra for a couple of weeks after surgery.
  • Most aerobic exercise can be resumed within two to four weeks.


In some instances, breast reduction surgery may be covered by some insurance providers. Our office will work with your insurance provider to determine the scope of your benefits. Otherwise, this surgery would be considered cosmetic.

Our Financing Specialists will help you secure financing for your cosmetic procedure and help make budgeting and paying for your breast reduction procedure simple and stress-free. We’re happy to help you make plans for affordable monthly payments. Learn more about your financing opportunities.

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“I went to Dr. Cohen after having numerous consultations with other physicians and I found him and the staff to be well above the rest. They treated me with respect and made me feel very comfortable. I went to Dr. Cohen to have a breast reduction and I am very glad that I went through with it. I just wanted to feel better about myself. Dr. Cohen was honest, friendly, and saw me numerous times afterwards just to check on the progress of my healing. The staff is amazing and I felt that they really cared about me. I would highly recommend this practice!”

Our practitioners who specialize in Breast Reduction surgery.

  • Dr. Cohen

    Dr. Michael D. Cohen, Board Certified Plastic Surgeon and Medical Director of Belcara Health, is recognized as one of the leading plastic surgeons in the nation. Dr. Cohen has been named LEAD Surgeon by Mentor for Breast Augmentation – and Top Doc by Baltimore Magazine for Breast and Body Surgery – for many consecutive years. With over 25 years of experience, Dr. Cohen has performed thousands of procedures for the face, body and breasts – creating natural, beautiful results that help his patients look and feel their best. Read full bio.

  • Dr. Vela

    Board Certified Plastic Surgeon Dr. Gary A. Vela, is one of the premier plastic surgeons in the area. Dr. Vela is renowned for his exceptional skill, natural results and compassionate approach to patient care. Understanding that patients’ thoughts, feelings, and emotions play a pivotal role in their outcome, Dr. Vela has helped thousands of patients achieve the transformative results they desire. Read full bio.