Breast reduction (reduction mammaplasty) removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. The surgery is helpful to women with very large, pendulous breasts who experience problems caused by their excessive weight.
Breast reduction is usually performed for physical relief. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results.
Breast reduction surgery can be combined with with implants to improve upper breast fullness.