Studies show that one in five women experience an increase in the size of their breasts during menopause. For some, it might be not overly significant, but for others, it can be two bra cup sizes or even more. This means increased discomfort and struggling to perform activities that were never a problem before. Combined with the other side effects of menopause, it is not pleasant at all. The increase in the volume of the breasts is not only a matter of the aesthetics of the body but can also be associated with pain. This is the reason why more and more women confronted with this issue decide to undergo breast reduction surgery late in life. When coming to the pre-operative consultation for breast reduction surgery, many women who are going through menopause mention that they never really considered undergoing a breast procedure until they had to deal with the daily pain and discomfort associated with overly large breasts. In some cases, they talk about how they wanted bigger breasts all their lives only to discover now when they are over 55 years old that they are not so much fun. Undergoing plastic surgery after a certain age is associated with potentially more risks and complications. This is the reason why it is important to choose a talented and experienced, board-certified plastic surgeon if you want to pursue breast reduction surgery during menopause. The plastic surgeon needs to perform a careful evaluation of the patient and decide whether she is a good candidate. Generally speaking, chronic or severe heart, lung, and blood conditions are considered contraindications. But most women who want to get the size of their breasts reduced with the help of plastic surgery are good candidates. The plastic surgeon will also recommend a series of tests to make sure everything is in order and there are no abnormal formations in the breasts before doing the surgery. For patients who are worried about breast cancer and plastic surgery, it is important to mention that there is no connection between breast reduction surgery and the incidence of breast cancer. Moreover, when breast reduction surgery is performed, we reduce the amount of glandular tissue and hence the potential spreading ground for breast cancer. In other words, breast reduction surgery will not cause cancer, but it can certainly contribute to reducing the chances of developing breast cancer due to the elimination of the excess glandular tissue. Patients over 50 who are taking medication for certain conditions should discuss this issue in detail with the plastic surgeon during the pre-operative consultation as some doses might need to be adjusted to avoid unwanted complications during and after the surgery. Also, it is important to follow the instructions of the surgeon to the letter during the recovery period to avoid complications.