Possible to Have Complete Breast Reduction and Implants?

I'm 5'3, 120 lbs, 27-year-old with 34D breasts. They are very uncomfortable. My lower back always hurts (while sleeping, sitting, etc). Is it possible to have a complete breast reduction and then insert breast implants? Or would they keep growing afterwards and look worse? Also, is it better to do this after I have children? My breasts have gone from 34B to 34D in the last 5 years and I'm scared they will just keep growing.

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11 Doctor Answers | Asked by confused11 in Florida

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Breast Reduction - Possible to Have Complete Breast Reduction and Implants?

Ironically, you may be happiest with exactly the procedure you're describing - a breast lift (which is the same as a small reduction) and the insertion of a small breast implant to maintain superior pole fullness. First, it's possible that you have a lot of extra skin (nothing personal, of course) and so when you get the lift/reduction you'll be smaller than you think. Secondly, unless you have a lot of breast tissue you'll get superior pole fullness better with... more

Breast Reduction and Breast Implants?

Thank you for the question. Although it sounds counterintuitive, breast implants may be helpful to achieve superior pole fullness that cannot be achieved and/or maintained after breast reduction or breast lifting surgery. Based on your description, you may be better off undergoing the breast reduction first followed by bresst augmentation several months later. I hope this helps.

Breast Reduction Questions Answered

Traditional breast reduction will make your breasts smaller, narrow and lift your breasts. If you do not have breast tissue in the upper part of your chest wall, you will not have the major cleavage seen with breast implants. If that is the appearance that you wish, then a larger reduction could be performed and implants could then be placed to give you more upper pole fullness. You will have to consider that you will need to maintain the implants over... more

Breast reduction and implants?

You can certainly have a breast reduction to reduce the overall volume of the breasts and you certainly would not need an implant to do that.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast reduction and implants

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... more

Breast reduction with implants

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... more

Breast implants can be placed after reduction

You question is a 'what if' type. If I did a full reduction, could I place a implant? Yes, But the implant would be less than 250 - 300 cc's. Otherwise if a larger implant is needed than 2 operations are recommended about 4 months apart. Now from your history that you so kindly gave in your question, I would first recommend no surgery if you are considering children or pregnancy. Second, ALL breast reductions leave scars. So you must consider these issues prior to having any breast surgery... more

Breast reduction: with or without implants, before or after pregnancy

AT this point in time implants would only complicate the matter. I believe it comes down to your priorities. If I read your question correctly, it is my impression that you find the weight of your breasts distressing. Therefore I would proceed with a reduction only. Allow for pregnancy, if and when it occurs and then reassess your situation and desires. Please realize that any breast reduction may compromise your ability to nurse.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Breast surgery

If you are planning to have children in the next few years, your breast size, shape and tone will most likely change, and surgery after having children will give the best long-term result. A complete breast reduction with implant placement is not a good option for cosmetic result. A breast lift with minimal reduction, with or without a small implant is probably your best option.

Breast reduction and implants are generally not mixed

Given you age, height and weight I would not expect your breast to change very much if you hold your weight stable. I don't think you need to be afraid that the breasts are going to keep growing. You will have significant changes with pregnancy and weight gain but I would expect you to be stable at this time. It is very possible that you will need a lift of the breast some time in the future but if you are planning a pregnancy in the near future I would advise you to go through that first. ... more