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Breast Reduction

At my Santa Monica practice, breast reduction patients tend to be extremely happy with both their enhanced appearance and their improved physical wellbeing. After they have healed, my patients can wear stylish bras with thin straps and clothes that fit properly, and they can more easily perform exercises like running. Many women who visit me for breast reduction from Los Angeles and throughout Southern California describe this procedure as the lifting of a huge burden – literally! For me, it's one of the most gratifying procedures to perform, because it not only creates a more proportional, uplifted and youthful breast, it also provides relief from the back, neck, and shoulder pain, bra strap grooving, skin irritation, and other physical problems that come with large, heavy breasts.

Whether you're ready to schedule your breast reduction or you're just curious, I am happy to answer all of your questions. Request a consultation online or call my office at (310) 576-3635 to schedule your appointment.

Breast Reduction Patient Photos

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Breast Reduction Case 448

This patient is a female in her late 40's who presented to my  office with complaints of back, neck and shoulder pain due to large pendulous breasts. The patient was also noted to have severe asymmetry as well as significant ptosis. I felt a bilateral breast reduction would give the pati...

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After Photo

Breast Reduction Case 445

This patient is a 34-year-old female who presented to my office with complaints of breasts which were asymmetrical, drooping and larger than desired. She also had severe elastosis of the abdomen due to pregnancy as well as excess fullness of the flanks. I felt that a breast reduction with abdomin...

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After Photo

Breast Reduction Case 428

The patient is a 31-year-old female who presented to my office with complaints of back pain, neck pain, shoulder pain, bra strap grooving and difficulty with physical activities due to the extremely large and pendulous nature of her breasts. I felt the patient would be an excellent candidate for...

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After Photo

Breast Reduction Case 411

The patient is a 41-year-old female who presented to my office with complaints of breasts which were larger than desired. She also had significant back, neck and shoulder pain due to extremely large breasts. I felt a breast reduction would give the patient significant improvement in her back and...

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After Photo

Breast Reduction Case 378

The patient is a 40-year-old female who presented to my office with complaints of back pain, neck pain, shoulder pain and bra strap grooving associated with large breasts. I felt the patient would benefit from bilateral breast reduction surgery.In surgery, I performed a vertical scar breast reduc...

View All Before & After Photos

The Art and Science of Breast Reduction

Not all breast reductions are created equally. At Dartmouth, I spent years training with Dr. Carolyn Kerrigan, a major innovator in the area of breast reduction surgery. Under this internationally recognized breast reduction expert, I trained in an updated version of the vertical breast reduction popularized by Dr. LeJour, as well as minimal-scar breast reduction using liposuction. During my fellowship with world-renowned plastic surgeon Dr. Grant Stevens, I trained in his innovative laser-assisted technique for breast reduction, and we performed well over 100 of these procedures. By the time I started my private practice in 2005, I had performed or assisted in over 400 breast reductions, so this was a surgery I was extremely comfortable offering to my patients.

Over the last decade of practice, I have continually refined my techniques. I have seen breasts of virtually every shape and size, and I have helped patients with challenging problems such as extreme asymmetry and scarred breasts from prior breast surgery performed elsewhere. Regardless of a patient's preoperative anatomy, my goal is to always achieve a youthful, perky and proportionate breast with the minimal amount of scarring necessary for the best result. Because I use multilayered under-the-skin dissolving suture closures, my patients’ scars usually heal very nicely as well.

Common Goals for Breast Reduction

Dr. Cohen describes the benefits women experience after breast reduction and how they often look and feel healthier. Watch Video

A Personalized Breast Reduction

There is so much more to breast reduction surgery than simply reducing the volume of the breasts. I let patients know that breast reduction is not a “one size fits all” type of surgery. The techniques must be customized and applied specifically to each patient, and every patient has a different idea of what final size and appearance would make them happiest. I apply the same eye for detail and beauty to my breast reduction patients that I do for all of my aesthetic surgery patients.

Together, you and I need to talk about your goals and what bothers you most about your breasts. We need to consider overall breast volume, areola size, and what type of incision will work best for you. Like many women, you may want additional contouring of the torso with liposuction to enhance your results. The goal, as with all breast surgeries, is to create beautiful, natural-looking breasts that are proportionate to your body.

As a board-certified plastic surgeon with specialized breast reduction training, I have numerous leading-edge techniques at my disposal. I will spend plenty of time with you discussing your needs and creating a custom treatment plan. This will include your desired breast and areola size, incision location, and whether or not I will incorporate any ancillary procedures. I'll be sure that you are fully informed as to what your treatment entails.

Surgical Details

Most breast reductions utilize a circumareolar incision, which traces the entire border of the areola (the darker circle of skin around your nipple), and a vertical incision that goes straight down the underside of the breast. This pattern is the reason some people refer to this as a "lollipop" incision. In some cases, I will make another incision along the breast fold, which produces an anchor-shaped incision.

Lollipop or LeJour incision

Anchor incision

I remove excess skin, fat, and glandular tissue, but I also re-shape the remaining tissues to create a round, aesthetically shaped breast mound. I also reposition the breast to an uplifted placement. The nipples are repositioned as well, and I often reduce the diameter of enlarged areolas, while keeping the nipple-areola complex attached to its nerves, ducts, and blood vessels. The result is a completely rejuvenated breast, which is not just smaller, it is shapelier and more youthful looking.

Most women feel such tremendous relief after breast reduction surgery that they find the recovery process very tolerable. Still, it is important that you follow the detailed post-op instructions that I will give you. You must wear a surgical bra (like a sports bra) for about a week, then a soft, comfortable, non-underwire bra for 4 to 6 months after that. I instruct breast surgery patients to avoid underwires during this time to allow the nerves and blood supply to re-establish.

Most breast reduction patients can return to non-physical work about a week after surgery. You should avoid lifting more than 1 to 2 pounds for at least 2 weeks, and you should be careful reaching or putting any pressure on your incisions. You can exercise lightly after about 4 weeks, then resume unrestricted exercise after 6 weeks.

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Dr. Robert Cohen

Certified by the American Board of Plastic Surgery

Dr. Cohen is a leader in the field of aesthetic plastic surgery whose expertise is highly regarded by both patients interested in improving their appearance, and plastic surgeons seeking to improve their techniques by attending his lectures. Dr. Cohen's goal is to understand your specific concerns, evaluate your anatomy in detail, and create a customized plan to help you achieve the best results possible based on the most modern techniques and materials available. Let him put his experience and aesthetic insight to work for you.

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