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

It is possible to perform a breast reduction with implants. This is necessary when we not only want to remove the excess skin and tissue but want to create fullness and projection to the breast. In all of breast surgery, this combination is the trickiest. For this reason it is essential that you work only with a board-certified plastic surgeon who has a great deal of experience in breast reduction, breast lift, and breast implant surgery area. Their expertise and depth of experience is... more

Thank you for the question and picture. Based on the description of your goals, I think you'll be better off undergoing breast reduction surgery only. It will be important to communicate your goals with your plastic surgeon; I prefer the use of “goal pictures”. If, after breast reduction surgery, you decide that you wish to have more “superior pole fullness” then breast implants may be helpful. Breast augmentation can be much... more

There are rare indications for a combination of a reduction and augmentation of the breast, having said that, the two procedures should never be done at the same time. In simple terms, the expansion and weight of an implant work directly against the contraction of volume and elevation of the breast provided by the reduction. I can see significant problems with malpositioning, sagging, and poor scar healing as a result of adding an implant to breast reduction surgery. In general, the... more

It sounds like you are trying to make this surgery more difficult than it is.  All you need to have done is a simple standard breast reduction.  It can give you a C cup without implants and stay stable as long as you do not gain and lose weight repeatedly.  This up and down  weight gain would stretch your skin and nullify some of the operation.  When you are DD cup to start with you should never need an implant.

What you are asking for does not make much sense, and would be taking too much risk. That being said, there are some surgeons performing this type of procedure, as it is the only way to achieve a full appearing upper pole. Even with implants, the full upper pole look is a short lived, so I really think it is not worth the additional risk of nipple numbness and implant complications that goes with it. With your breasts, a reduction alone will result in very natural perky breasts that... more

Regarding "I definitely plan on losing weight before, but I really want to get a Breast reduction, Breast lift, then get Breast implants. " You do not need to even consider a breast lift and breast implants. A Breast Reduction will make the breasts smaller AND lift them them on your chest to make them perky. This could well be done with a Short Scar technique (lollipop). Be aware that if you are not done having your family and may get pregnant or sustain weight fluctuations the... more

If you have relatively large breasts (DD bra) then all you need is a breast reduction; no implants. You can easily be made a C cup and the reduction has a lift "built in" so to speak. Your shape will be improved and your nipple position will be elevated slightly. This can be done with a circular incision around your areola and a vertical line from the bottom of your new areola to the crease under your breast. You should get done to your goal body weight prior to any breast... more

Hi! 1)  You don't need breast implants!  In fact, I think they would be harmful. 2)  A good breast reduction always includes a breast lft (not a separate operation), and will give you perky, natural C cup breasts.  That's all you need.

You have expressed procedures that you want to have done and not your goals. It is unusaul to decide to do a breast reduction and then decide to put implants in. You should try to decide what exactly you want and talk with a plastic surgeon about how to get to that point.

There is rarely, if ever, an indication for both a breast reduction and implants. Looking at your photo, I think you should get your desired result with a reduction alone. Adding implants with your situation will only increase the cost , the complication rate, and the liklihood of an UNNATURAL look.

I don't recommend doing this in a one stage procedure. If I am doing a breast reduction (which automatically includes a lift), It is fairly easy to go from a DD to a C and look natural. I usually use a lollipop or vertical approach so there is no scar under the breast just around the nipple and straight down. This should give you a perky breast without needing an implant. If 6 to 12 months after the reduction you want more fullness then I would consider a small implant. The reason for doing... more

First, I would get down to your goal weight. Then, you can have a lift and small reduction and get the fullness you desire and the lift that you want. You probably do not need implants.