Breast reduction is a major plastic surgery procedure that can be performed as a stand-alone procedure or in combination with other aesthetic procedures. Excessively large breasts are often associated with difficulties in performing sports and physical activities due to the discomfort caused by the weight of the breasts. For some patients, this can mean that fat accumulations can start to occur in different levels of the body, despite keeping a balanced and healthy diet. When the patient is confronted with other imperfections, the plastic surgeon might recommend to have breast reduction surgery combined with other procedures, such as: 1. Liposuction Nowadays liposuction is probably the most commonly performed procedure in the United States and in many countries around the world. Liposuction is so frequently used because it can enhance the aesthetic results achieved with other procedures and reshape the body of the patient by eliminating localized fat pockets that are resistant to diets and exercising. When it comes to combining liposuction with breast reduction, the areas most commonly targeted are the sides of the body, the back, and even the abdomen. Of course, if the patient wants to use liposuction on other areas of the body, this is possible as well. The plastic surgeon will address the surrounding areas of the breasts to improve the results achieved with breast reduction surgery. When liposuction is performed under the arms, on the back and on the abdomen, the breasts will look even more beautiful after the procedure and the overall silhouette of the patient will be enhanced. 2. Tummy tuck Breast reduction can be performed on women who have had multiple pregnancies. In this case, the procedure can be combined with a tummy tuck to improve the appearance of the abdominal area. The tummy tuck is recommended for patients with skin sagginess on the abdomen and also loose abdominal muscles and umbilical hernia. The plastic surgeon will perform breast reduction surgery and then address the abdominal imperfections by removing the excess skin tissue, strengthening the abdominal muscles with sutures, and correcting the abdominal hernia. The tummy tuck is the only efficient solution to correct the imperfections of the abdominal wall when skin sagginess is present and the abdominal muscles are distended. Breast reduction surgery and the tummy tuck are often performed together as part of the Mommy Makeover package. 3. Arm lift When breast reduction is combined with an arm lift, the whole appearance of the superior part of the body can be enhanced and improved. When the arm lift is performed, the plastic surgeon will eliminate the excess skin on the arms after considerable weight fluctuations or as a result of the natural aging process. After the arm lift is combined with breast reduction, the patient will enjoy having firmer and younger looking arms and breasts that are proportionate to the rest of her anatomy.