Breast Reduction

For every woman who wishes she had bigger breasts, there’s another woman who would give anything for smaller ones. A breast reduction can help alleviate the self-consciousness that’s so often associated with a generous breast size, as well as help relieve the physical discomfort like back pain and skin irritation that can result from overlarge breasts.

Recognized as a breast reduction specialist and one of the top cosmetic surgeons in the Mobile-Pensacola metro area, Dr. James Koehler is a board certified cosmetic surgeon serving patients from Gulfport to Gulf Shores and beyond. Dr. Koehler offers a wide range of plastic surgery procedures for both men and women, and is known for his caring commitment to a patient-first approach.

Contact us online or call our Fairhope, Alabama practice at 251-929-7850 to schedule your breast reduction consultation today.

Are You a Candidate?

Women who struggle with embarrassment or teasing due to their large breasts, or who notice ongoing physical issues like pain in the upper shoulders, neck and back may be candidates for breast reduction. Breast reduction can also be performed to recover your pre-pregnancy figure as part of a mommy makeover or included with post-weight loss body contouring to help create a more proportionate look following major weight loss. It’s also important for candidates to be in good overall physical and mental health, and to have realistic expectations about your results.

Men who struggle with the appearance of male breasts may be candidates for male breast reduction, which is performed as a treatment for gynecomastia. “Man boobs” may be the result of excess fatty tissue or glandular breast tissue, but reduction surgery can restore a masculine look to the chest again.

Meet Dr. Koehler

Educated at the University of Alabama and in practice for over 15 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler

About Breast Reduction

Breast size can change throughout your lifetime. Some women are genetically predisposed toward larger breasts, while others find that their cup size fluctuates in response to their weight or following pregnancy and breastfeeding. Breasts that are disproportionately large for your frame can feel like an unwelcome focal point in your daily life. Big breasts can also make keeping up with an active lifestyle challenging, as sports bras may not be adequate to prevent physical discomfort during workouts.

During breast reduction, Dr. Koehler can remove excess glandular breast tissue along with fatty deposits to reduce the size of your breasts. At the same time, he reshapes the remaining breast tissue with a breast lift to ensure that your breasts are centered, proportionate and have a more compact, uplifted profile. A breast reduction also typically includes the resizing of the nipples and areolas for the most comprehensive results.

Please visit our Real Patient Photo Gallery to see breast reduction before and after photos of real patients just like you.

Breast Reduction Costs

Breast reduction surgery costs are sometimes covered partially or fully by insurance if performed as a medical necessity. The process of supplying the necessary documentation to your insurance company can be time-consuming, but our staff can help determine if you are a candidate and assist with the pre-authorization process.

Without insurance, the price for a breast reduction from our practice ranges from $6,000 to $7,100, a total that includes Dr. Koehler’s surgical fee, the cost of anesthesia, facility fee and all follow-up appointments. Dr. Koehler and his staff are happy to answer any questions you may have about cosmetic surgery pricing and help you fully understand the costs associated with your breast reduction.

What to Expect

The first step of your breast reduction journey starts with a consultation with Dr. Koehler. During this time, you’ll discuss your goals for surgery, address questions about insurance coverage and talk about the risks and benefits associated with breast reduction surgery. Dr. Koehler will also conduct a physical evaluation to ensure that you’re a candidate.

On the day of your surgery, Dr. Koehler will make incisions in the breast area, usually in the crease below the breast, around the areola and a vertical incision connecting the two. These incisions give Dr. Koehler the access he needs to remove excess breast tissue while reshaping and lifting the breast for a beautiful final profile. Excess skin will be eliminated, and the nipple and areola will be reduced before being moved to a higher position.

Since breast reduction is an outpatient surgery performed under general anesthesia and patients can plan on returning home the same day as surgery. Most women can return to their daily routine in a week or two as long as they avoid overly strenuous activities. Any initial discomfort can typically be well-managed with the help of oral medication, and your dressings will be removed 7 to 10 days after surgery. Dr. Koehler will ask you to wear a good sports bra or surgical bra without an underwire for 4 to 6 weeks after surgery, and will also give you detailed instructions about post-operative care and when you can start wearing your normal bras again.

Risks and Complications

Breast reduction surgery is considered a minimal risk procedure, although there are potential complications possible in any surgery. Dr. Koehler will go over all the possible side effects and risks with you ahead of time so that you’re well-informed before moving forward with your reduction. Common complications include those that are typical for any surgery, like a negative reaction to anesthesia or the risk of incisions becoming infected. Other complications such as asymmetry, permanent changes in breast or nipple sensation or irregular contours are rare but possible. Dr. Koehler will go over all the risks and benefits with you before your surgery so you’re fully informed about what to expect.

Your New Look

You should see a difference in your breasts right away after surgery, especially noticing the absence of excess weight pulling on your neck and upper back. You can expect your new breast shape to continue improving over the next 6 months. Although scars will be present, they should be easily hidden by clothing and will fade normally over the following 6 to 12 months. Most importantly, you’ll enjoy a breast shape that’s proportionate and flattering to the rest of your frame, and can live your life without concern over the ongoing physical or emotional discomfort that you may have experienced with larger breasts.

Dr. Koehler has the right combination of surgical skill and focus on patient care to help you feel and look your best. Please don’t hesitate to contact us online and schedule your breast reduction consultation today, or call us at 251-929-7850.


Breast Reduction Surgery
Service Type
Breast Reduction Surgery
Provider Name
Dr. James Koehler,
7541 Cipriano Ct.,Fairhope,Alabama-36532,
Telephone No.(251) 929-4051
Board certified cosmetic surgeon Dr. James Koehler is known as one of the best breast reduction surgeons in the Mobile-Pensacola metro area.