Breast reduction can be done with liposuction; however, it doesn’t address important issues like excess skin and laxity. Breasts are loose and droopy ordinarily. If you just do liposuction, you have an empty bag of skin that’s not an attractive breast. It’s very limited in how much we can remove and what the patient’s expectation is. Another limitation is that liposuction only removes fat, not breast tissue. Most women with overly large breasts have too much breast tissue, which is firm and is not removed by liposuction. Sometimes they can end up with lumpiness from the internal breast tissue being revealed after the removal of the fat.