The goal of a breast reduction is to reduce the breast and also perform a lift. Most plastic surgeons would agree that liposuction for reduction rarely achieves a desirable result because patient’s become droopy as the skin envelope is not reduced with suction. Nobody likes to be saggy. In this patient her breast are large and droopy but she did want to maintain her full “DD” cup size. A modest 400 gram reduction on each size is performed with a substantial lift. We are able to achieve surgical goals that she is pleased with. The scars are visible but do fade over time.