Can You Have Implants After a Breast Reduction and Lift?

Breast implants do provide fullness to the central and upper pole of the breast. if a patient is left with inadequate breast volume after a breast reduction or mastopexy they might need to have breast implants. You can potentially develop neck and/or back pain if you have very heavy breasts (either from very large implants or from large and heavy breast tissue).

The quick answer to this is yes you can do all three procedures: lift, reduction, and augmentation.
I have had occasion to do this at the same procedure and occasionally many years later (more common with subsequent weight loss). In all of these instances, the patients did not complain about the same syptoms they had when they were larger breasted.
I agree with you, in that it would seem natural that patients would report recurrent back pain but this does not seem to occur.
I will be very interested to hear what the other plastic surgeons who answer this have to say but it is very unusual for patients, even with big implants (larger than 400) to complain about back pain. This does not mean that they do not experience relief when they eventually have the implants removed but generally they seem motivated to tolerate the weight and volume.
I agree with you also in that the use of the implant is one of the best methods to ensure upper breast fullness after reduction and lift.