Breast reduction surgery (reduction mammoplasty) is one of the surgical treatments considered for macromastia, primarily performed to alleviate the physical and functional burdens caused by the weight and shape of the breasts.
This surgical procedure is designed not merely to reduce breast size but also to ensure that the reduced breasts harmonize with the overall body balance and contribute to improvements in daily life and quality of life (QOL).

The primary objectives of breast reduction surgery are to excise excess breast tissue to reduce the breasts to an appropriate size and to reposition the nipple-areola complex (NAC) so that it sits in a natural and appropriate position on the reduced breast.
The size of the breasts and the position of the nipples and areolas are closely related; simply reducing the amount of tissue will not yield sufficient functional or cosmetic results.