Though increasing breast size is the most common form of breast cosmetic surgery. Some women want to reduce the size of their breasts instead. Many women experience physical and/or emotional hardship because of their uncomfortably large breasts. Breasts are made smaller by the removal of breast tissue and excess fat. This is called “breast reduction” surgery. Breast reduction can go a step further. Your plastic surgeon can also reshape your breasts. This make it possible to not only get a smaller breast size, but also to achieve your desired breast shape as well. In some cases, your plastic surgeon will suggest you have a breast lift performed in combination with your breast reduction surgery. The outcome would be a reduced size and completely different shape. The procedure is also commonly done as part of a mommy makeover.