Although breast surgery is commonly almost always associated with breast enlargement, the reduction of the size of breasts that are too large (breast reduction, mamma reduction) constitute approximately half of all breast surgery operations.

In addition to the difficulty of hiding large breasts through fashion, almost all women with too large breasts suffer from orthopedic problems. Back problems due to constant overload and incorrect posture are daily occurrences. Patients with too large breasts regularly suffer considerably more than those who feel that their breasts are too small. They often feel misunderstood and abandoned with their issue, and due to misplaced shame they too seldom speak to a qualified surgeon.

In terms of operational technique, there are several options when it comes to breast reductions. A principle that they all have in common is to protect the blood supply to the nipple and the areola and to remove a certain amount of skin, fat and glandular tissue that has been determined in advance. During this operation, the nipple is usually moved upward, so that the breast is not only reduced in size, but also "raised up".