Increasing the size of a woman’s breasts is not the only reason for having breast surgery In the event a women’s breasts are so large to cause physical distress, breast reduction surgery can be of assistance. Breasts are made smaller by the removal of breast tissue and excess fat. This is referred to as “breast reduction” surgery. In addition to making your breasts smaller, your cosmetic surgeon will often also reshape your breasts to achieve a more esthetically pleasing shape and size. Breast reduction surgery is often combined with a breast lift. These two procedures are very often paired as part of a “mommy makeover”. The result of these two combined procedures is a smaller breast size with the desired breast shape.