Increasing the size of a woman’s breasts is not the sole reason for having breast surgery Some women experience physical and/or emotional distress due to their uncomfortably large breasts. Breasts are made smaller by the removal of breast tissue and excess fat. This is called “breast reduction” surgery. Plastic surgeons also reshape the breast creating the shape and size that fits your body the best. Depending on the goals for your procedure, your plastic surgeon might suggest the reduction be paired with a breast lift. These two surgeries are very often combined as part of a “mommy makeover”. The outcome of these two combined procedures is a smaller breast size with the desired breast shape.