Hi and thanks for your question. The great news about breast reductions is that in most cases they include a lift! In fact, many breast reductions are actually just a breast lift that removes extra breast tissue as well. A visit to a plastic surgeon's office will help you to understand if you're a candidate for the procedure, and what aesthetic outcomes are realistic in your particular case. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, always schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery. Best of luck, Keith M. Blechman, MD New York, NY