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. Breast reduction surgery is a procedure that allows for the reduction in breast size. This is done by removing extra fat and breast tissue to reach the desired, smaller breast size. In addition to making the breasts smaller, your cosmetic surgeon will often also reshape your breasts to create a more esthetically pleasing shape and size. Depending on the desired result for your procedure, your plastic surgeon may suggest the reduction be paired with a breast lift. The result would be a reduced size and completely different shape. The surgery is also often done as part of a mommy makeover.