Increasing the size of a woman’s breasts is not the sole reason for undertaking breast surgery Many women experience physical and/or emotional distress due to their uncomfortably large breasts. Breast reduction surgery is a procedure that allows for the reduction in breast size. This is achieved by removing extra fat and breast tissue to reach the desired, smaller breast size. In addition to making your breasts smaller, your plastic surgeon will often also reshape your breasts to create a more esthetically pleasing shape and size. Depending on the desired outcome for your procedure, your plastic surgeon might 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 completed as part of a mommy makeover.