Although most people associate "breast surgery" with an increase or a mastopexy (lift), the truth is that many women come to plastic surgery consultations requesting a breast reduction (or reduction mammoplasty) with the desire to solve a health problem that forces them to live with discomfort and even pain.

Breast reduction or reduction mammoplasty is a surgical procedure for women with large and/or sagging breasts who often experience back and neck pain, skin irritation in the inframammary folds due to maceration of the folds, and shoulder pain because the bra straps are marked. To all this is added the fact that patients who require a breast reduction do not find themselves attractive and proportionate with the rest of the body.

The process of molding the breasts to give them a harmonious shape that is in harmony with the patient's anatomy, the surgeon, depending on the amount of breast tissue to remove, usually makes incisions in the shape of an inverted T or anchor, with a vertical line from the areola downwards and a line horizontal that is hidden in the inframammary fold or a lolly-pop design (without the scar in the inframammary fold).

In most cases, with this surgery the woman keeps the areola attached to its blood vessels and nerves, but if it is a mammoplasty with a very large reduction of the breasts, in women without sensitivity in the nipple or older than 50 years, the surgeon may choose to separate the areola and reposition it later.

Usually, breast reduction surgery is combined with the reduction of the size of the nipple-areola complex (NAC).