Breast reduction surgery, also known as reduction mammaplasty, is performed for women with very large breasts. Women who are considering breast reduction surgery usually are troubled by back and/or neck pain, skin irritation, and bra strap grooving due to the excessive weight of their breasts. With breast reduction surgery, the excess skin and breast tissue is surgically removed, making the breasts smaller, lighter, and firmer. The size of the areola (the darker skin surrounding the nipple) can also be reduced. Most women undergoing breast reduction surgery are relieved and very satisfied after the procedure.