The goal of breast surgery is not always to increase size. 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 extra fat. This is called “breast reduction” surgery. Breast reduction can go one step further. Your cosmetic surgeon can also reshape the breasts. This make it possible to not only get a smaller breast size, but also to achieve your desired breast shape as well. Breast reduction surgery is often paired with a breast lift. The result would be a reduced size and entirely different shape. The procedure is also commonly completed as part of a mommy makeover.