The goal of breast surgery isn’t always to increase size. Many women experience physical and/or emotional hardship because of their uncomfortably large breasts. Breast reduction surgery is a surgery that allows for the reduction in breast size. This is done by removing excess fat and breast tissue to reach the desired, smaller breast size. In addition to making the breasts smaller, your plastic surgeon can also reshape your breasts to create a more esthetically pleasing shape and size. In many cases, your cosmetic surgeon will suggest you have a breast lift done in combination with your breast reduction surgery. The outcome would be a reduced size and completely different shape. The procedure is also often performed as part of a mommy makeover.