Breast Reduction, Lift and Implants to Get C Cups from DD Breasts?

A breast reduction will reduce DD breasts to perky lifted C cup breasts.  A breast lift would be included. Insurance would cover many of these.  Implants are not mandatory, and a reduction by itself would certainly be lower cost than a reduction followed by a lift. 

It is actually more common than you think to have a breast reduction/lift, then have a breast augmentation 6 months later.  The results with this approach are great.  It allows you do do a very nice lift/reduction operation, repositioning the nipple and reshaping the breast, then allow everything to heal.  After the breast is reshaped you can get the extra upper pole fullness you want with an implant.

I believe you can get the result you are looking for with the right breast reduction. Since you have breast tissue, I would recommend using that over placing an implant. There are different patterns of breast reductions that can make your breasts perkier and higher up on the chest, while reducing the weight at the same time. I would recommend getting a consultation from a board certified plastic surgeon to discuss your options and expectations. If you have health insurance that does not have an exemption to breast reductions then the cost would be dependent on your deductible.

With all of the talk of implants, reductions and lifts it can be a little confusing sometimes to figure out what you really need.  I usually tell patients that they want to be close (within 10-15 lbs) to their goal weight before undergoing surgery unless they really need to do surgery for medical reasons.  The reason is weight loss more than 10-15 lbs increases the risks of losing some of the benefit of your other surgeries.  I usually tell patients that if they like the size of their breasts in a good supportive bra that they don't need an implant they only need a lift.  If you are bothered with chronic neck and back pain then you may want to consider a breast reduction which can help with many of these symptoms. 
In many cases the breast reduction can be covered by insurance but if your policy does not cover it then there is a special reduction in cost for out of pocket expenses.  In our area the out of pocket cost runs between 5-8k depending on the exact procedures being performed.  Some patient really just need a breast lift which is a little less costly and some need some more extensive procedures.  The average is around 6.5k for many patients with a standard reduction.  This includes all the hospital and surgeons fees. We have board certified anesthesiologists and surgeons operating in a major hospital within a small community that has excellent ratings. The link I have provided has some very informative videos that can help you decide if this is the right time for you to consider breast reduction. Best of luck on your journey

This is a great question, and one that many patients ask me during their consultations. Many women seeking out a breast reduction want to make sure that after the surgery their breasts are full and perky. A breast reduction surgery does include a lift so your breasts should be higher and perkier than before surgery. Most breast reduction patients also have a lot of breast tissue, so after the surgery their natural breast tissue will give them full breasts. For some patients I recommend just a reduction, as they have enough tissue to create full breasts. It is also possible to have implants put in in the future if you want more volume. I would need to examine you in person to determine which course of action is best for you. Good luck!

It is possible to have all three procedures, a
breast reduction, lift, and implant, performed in a single surgery. However,
considering you are a size DD and have a fair amount of breast tissue, you may
want to think about having just the breast and reduction lift performed first.
You may find that you are completely satisfied without the implants, or may
find that you want the implants placed at a later time to give your breasts a
rounder, fuller look. 

A #mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). #Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and #areolae of the desired size and at the correct height.The costs for #breast surgery will vary by the Surgeon's expertise and experience; cost for anaesthesia and operating facility; and the geographic location you have the procedure. Estimates can be obtained here on RealSelf , PlasticSurgery.org or Surgery.orgA #BreastReduction procedure is commonly covered by #insurance though insurance criteria are becoming more and more restrictive. Some practices do not accept insurance. However, ask the staff to assist you in obtaining pre-authorization so that you can attempt to be #reimbursed for out of pocket #expenses.

Yes this is possible and may be recommended if you wish to be more full on top. However there are other ways to accomplish this at the time of your Breast Lift/Breast reduction. If you have been considering a Breast Lift, Reduction or improving your appearance after breast augmentation but are not comfortable with introducing artificial material into your body, you may want to look into the benefits of breast augmentation with fat transfer. An alternative to breast implants is fat transfer also known as fat grafting or lipoinjection. This technique allows women the option of enhancing the appearance of their breasts without the potential problems of saline or silicone implants such as hardness, rippling or rupture.Who is a candidate?Any woman who is healthyWomen with sufficient body fat for the procedureWomen considering breast augmentation who wish to be one cup size larger or lessWomen who have had breast augmentation or reconstruction but who lack fullness or have contour concerns. Fat transfer can further enhance and reshape your breasts while smoothing out visible or palpable edges of breast implants. This will disguise implant rippling and wrinkling.Women with normal mammographySee the below links for more details: 

Breast reduction, or reduction mammaplasty patients are among the most satisfied of all plastic surgery patients. Large breasts (macromastia) can often decrease quality of life for a woman. With breast reduction, you can have smaller breasts that sit higher on your chest wall. You will also find relief in your neck and back with the decrease in weight and more ergonomic position of your breasts.There are several different variations of breast reduction, differing by size, and amount of incisions; procedure; and the results. The different types of reduction techniques include: The wise pattern breast lift, the anchor shaped incision, and the donut mastopexy.1. The wise pattern breast lift involves an anchor-shaped incision around the natural contour of the breast. To most patients surprise, this scar is mostly hidden under the inferior aspect of the breast. However, the scar around the nipple/areola is visible. Most patients heal this anchor type scar very well and are satisfied with smaller areola in exchange for the scars. This surgery is used when there is a lot of excess skin that needs to be removed in order to lift the breast and give it a more aesthetic shape.2. Often times, the anchor shaped incision can me diminished to create a lollipop or J shaped incision. This results in some excess skin at the inferior aspect of the breast near the breast crease that will flatten out over a 6 month period. Some patients are willing to tolerate this excess skin for 6 months in exchange for a smaller scar. This is a personal decision that each patient can make.3. The donut mastopexy involves creating an incision around the areola and removing a doughnut-shaped area of skin. This surgery can be used for patients that need a smaller amount of lifting. This surgery results in a scrunched-up look to the breast skin surrounding the areola for about 6 months before it flattens out. Patients need to be understanding and tolerant of this in exchange for an areola-only scar. These patients do run the risk of areola widening as well.Insurance may cover some of these cases when back pain, shoulder bra-notching, and rashes under the breast are present. Insurances vary though and your doctor can submit a report and photos to see if your insurance approves your procedure.The risks of the procedure include bleeding, infection, bruising, poor scarring, pain, swelling, and changes to nipple and areola sensation, and rarely, partial or total nipple loss. The recovery time is usually a couple weeks if all goes well. In general, however, breast reduction patients are some of the most satisfied and grateful plastic surgery patients. This is truly a life-changing procedure. In my area, the cost ranges from 6700-8500. Best of luck!

You have raised very good questions. I can not advise you specifically without performing a history and physical examination in person. However, in general it sounds like the goal is to achieve smaller volume (reduction), a lift and increased projection which is what I think you mean to achieve with implants. In these situations I recommend to my patients that they stage these procedures and start with only the reduction/lift. This procedure will use your own tissues to provide the fullness and projection desired. we then reassess after everything has settled down (6-12 months) and see if implants are really necessary. It is better to use the tissue available than to take breast tissue away only to replace that volume with implants that have their own risks.Talk to your Plastic Surgeon and define whether you need a lift/augmenation or a reduction. If insurance is an option for the reduction, then the cost out of pocket will depend on your coverage but should be reasonable. Good luck and enjoy your results