Breast reduction surgery essentially allows for the breast to be pulled tighter with the removal of fatty tissue, glandular tissue, and excess skin. This creates a lighter and firmer appearance and feel. Breast reduction can actually be a very helpful surgery for women who have large, potentially sagging breasts. There are actually several medical reasons for breast reduction surgery to occur. In fact, most people receive reduction mammaplasty, not for cosmetic purposes, but due to the medical problems overly large breasts often bring. Many times, these issues can create neck, back, and shoulder pain for women. Through reduction, they can better enjoy their lives and find relief from pain and low self-esteem due to breast size.