Increasing the size of a woman’s breasts is not the sole reason for undertaking breast surgery Many women find their breast size to be uncomfortably large. This can cause physical and emotional distress and is easily remedied. Breast reduction surgery lowers the size of breasts by removing fat and breast tissue. In addition to making your breasts smaller, your cosmetic surgeon can also reshape your breasts to create a more esthetically pleasing shape and size. Breast reduction surgery is many times combined with a breast lift. These two procedures are very often combined as part of a “mommy makeover”. The outcome of these two combined surgeries is a smaller breast size with the desired breast shape.