Is there a breast reduction procedure which removes only the fatty tissue and not milk ducts?

If you are asking...: Whether you can nurse after a breast reduction, the answer is probably yes. It depends on the technique used. The inferior pedicle technique, for example, leaves the central breast intact as well as its milk ducts and the nipple, so one should be able to nurse after this operation. Be sure to tell your surgeon if post-reduction nursing is important to you.

Yes: Breast reduction by liposuction can reduce the breast by removing only fat cells and not the milk ducts. However, it will not tighten the skin. Wearing compression garments will help the skin envelop shrink but if you have a lot of droop or minimal fat in the breasts, then traditional reduction is best. Most techniques can preserve enough glandular tissue/ducts that breast feeding is possible.

Not really...: It is not practical as it is hard to see the difference between ducts and fat. There is liposuction, but it might damage the ducts a bit as well.

No: Breast reduction surgery generally involves removal of “excess” breast skin, adipose tissue, and breast tissue. Undoubtedly, within this breast tissue will be some milk ducts. However, most techniques today preserve a "pedicle" of breast tissue below the nipple/areola complexes; most patients are able to breast-feed after breast reduction surgery. I hope this answers your question.