Women with very large breasts often experience a variety of health problems, including intense back pain and skin irritation, due to the excess weight and low center of gravity of their breasts. During breast reduction surgery, excess breast tissue, skin and fat are removed to create a smaller, lighter and firmer breast. If necessary, the nipple and areola may be lifted and/or reduced. The goal of breast reduction is to create a nicely contoured breast that is proportionate to a woman’s body. After breast reduction, patients are often relieved of the physical discomfort of large breasts.

Dr. Ackerman was one of the first surgeons in the U.S. to perform the so called "vertical technique" of breast reduction. It is a superior technique that allows for better contouring of the breast, eliminates the large transverse scar under the breast, and achieves a more lasting lift. Dr. Ackerman designed the Ackerman Areola Marker for this technique.