Possible to Have Complete Breast Reduction and Implants?

Yes, a #BreastReduction with #BreastImplants, together, are is possible. However, your Surgeon would help you determine if a reduction of lift is necessary. 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. This is called an Augmentation Mastopexy, or a Breast Lift with Implants. 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.

If your weight is stable and you are not on a birth control pill  or other hormone replacement I would first investigate by seeing an endocrinologist or your primary care doctor as to  why your breasts have gone from a B to a D in such a short time. If you are planning on having kids soon I would suggest doing this first as beasts can do all sorts of things (like massive growth, drooping, etc) during pregnancy. That being said consider using your own fat instead of an implant for superior fullness.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 Both reasonable choices. 

It is totally possible to have this done, since the implants can help give your breasts more fullness in areas that wouldn't benefit from a reduction and lift alone. Your breasts will most likely be affected by pregnancy, therefore you may want to consider waiting until after you've had kids before proceeding with surgery. However, you can get a reduction done first if you'd like to help improve your comfort.

If you are a full D cup, and you want to be smaller, there is no sense in putting in implants at the time of a breast reduction, especially if you are considering having children. You can get an absolutely beautiful breasts with a reduction, as this surgery will not only make your breast smaller, but it will lift them too. Of course, your results will vary depending on the surgeon and the technique, but since you have not had children yet, I would not necessarily recommend doing a "complete breast reduction" then placing implants at the same time.
If you are considering having children and perhaps breast feeding, then a reduction alone would be your best bet. Then, when you are done childbearing, you can re-evaluate your breasts, and determine if you want them lifted, reduced more, or augmented with implants because many women loose breast volume after childbirth.
I would recommend having a consultation with a couple of Board Certified Plastic Surgeons to be examined and go over your options in detail. Good Luck!

Performing a breast reduction would decrease the volume of breast tissue as well as lift the breast and nipple. If you are having significant shoulder pain and discomfort from the large pendulous breasts, then a reduction would be beneficial.
The reason breast implants are sometimes used at the same surgery is to give shape to the upper pole of the breast. A small implant is used and size is determined by the plastic surgeon and you. Generally a small implant is sufficient.
After having children, the breast shape may flatten and stretch even greater. Many moms have the "mommy makeover" after having children to lift and shape the breasts and flatten the tummy.