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.

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.

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!

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.

Auto augmentation
mastopexy is a surgery that repositions your own breast tissue into a more
pleasing and comfortable position.  Auto-augmentation mastopexy makes the breasts only as much bigger
as there is lower pole breast tissue available to move into the upper
pole.  The lower pole tissue that is moved up is fixed in place with
sutures to the pectoral fascia, so it is not possible for the relocated tissue
to ‘drop’.  

Breast implants add volume (and weight) to the breasts while
auto-augmentation really does not.  Additionally, implants augment the
entire breast, while auto-augmentation augments the upper pole only.  So
for many reasons auto-augmentation results tend to be less prone to recurrence
of droopiness.

Other advantages of auto-augmentation mastopexy:

               
#1 - Zero need for implant surveillance and possible replacement

               
Also:

Zero risk of capsular contracture

               
Zero risk of implant migration / malposition

               
Zero risk of visible fold/ripples

               
Zero risk of implant infection

Auto-augmentation mastopexy is absolutely the procedure of
choice for a patient who wants a breast lift, who will not have adequate upper
pole fullness without an implant or auto-augmentation, and who is happy with
the amount of breast issue that she is starting with.  If a patient wants
a lift AND fuller breasts (i.e. increase in true cup size), then an implant is
required.

It is important to understand that there is no plastic surgery
procedure for which the results do not change over time.  Skin is elastic
and stretchy and so is breast tissue, and that ‘stretchiness’  increases
with age.  The elasticity of skin and soft tissue is genetically
determined, and it therefore varies widely from patient to patient.  So it
is impossible to predict for any one patient how long it will be, if ever,
before they feel they need a secondary mastopexy – which in most cases is just
a touch-up procedure and not nearly as extensive as the original
mastopexy.  Certainly if a patient has breast stretchmarks and thin breast
skin from multiple pregnancies, then that patient is more likely to need a
secondary mastopexy at an earlier date than a patient with thicker skin and
better skin and breast tissue tone. 

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.

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.

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. There are more issues to be discussed but I feel an in person consultation with your local boarded Plastic Surgeon can address them. Best of Luck!