In the past, the traditional methods for performing a breast reductìon for macromastia, consisted remodelling the breast mound with an inferior, superior or centrai pedicle then trimming and redraping the skin over the new shape. Unfortunately ali these techniques necessitated long scars. Minimising scars in breast surgery has been a major goal of the last two decades. In the last three years the Authors had safely and successfully utilised breast suction in association with open breast reductìon. An evolution of practice slowly widened their indicatìons for liposuction and it became the sole modality for breast reductìon in some patients with predominantly fatty breasts. Scattered reports of reductìons of the female breast, only if moderately enlarged, using liposuction alone have appeared in the literature. The tumescent technique is a method of large volume subcutaneous infiltration of a dilute formula described by Klein for liposuction. Tumescence facilitates fat removal in a bloodless fashion and provides post operative pain relief. A logicai progression was to explore its application in breast surgery to safely perform even larger reductìons. Breast reductìon with liposuction only using the tumescent technique was performed in 15 patients (28 breasts) ranging in ages from 70 to 17 years with a mean age of 29.2 years, with preoperative bra size from 34 E to 42 E. At the end of the procedure an average of 674 mi of Mds were collected in the botile, ranging from 1300 mi to 200 mi. Our mean follow up is one year, the longest is fifteen months and the shortest seven months. We have found that the Liposuction Reductìon Mammaplasty using the Tumescent Technique is a safe operative procedure and results, when compared with traditional reductìons, in less morbidity, better aesthetic outcome due to the absence of scars, no sensation loss. A good symmetry was always achieved, and a breast reductìon of at least one bra and/or one cup size was gained from the first postoperative week. Operatìng rime and hospital costs are reduced, ali the patients stayed overnight in the hospital to be discharged the day after surgery. The problems that we have observed include areas of ecchymosis and diffuse haematoma, not requiring draining, and wrinkling of the breasts in the early preoperative tìme. No major complicatìons are so far reported.