Esthetic breast reduction operation is actually not an esthetic but a reconstructive surgery, although it seems like one of the cosmetic operations to improve women’s appearance. Breast sagging due to their size might cause backache and neck pains for women. It may cause protuberance. Brassiere may put pressure on nerves in the arm, generating numbness. It may cause difficulties in breathing. In esthetic breast reduction operation, large breasts are downsized according to the person’s body proportions. Excess breast tissues and the skin covering them are removed. Nipples are adjusted to their optimum location. Esthetic breast reduction operation usually gives satisfactory and permanent results, rejuvenates and motivates families, and eases women’s clothing styles.