Is it better to do a breast reduction with or without implants in order for them to have a better shape? (Photo)

Thank you for your question  and pictures, I would recommend a breast reduction with out implants, an in person consultation would be best for a detailed exam and evaluation.always see a board certified PS

If you are a 34FF then you will get a very good lift with a reduction alone. I would discourage you adding implants as this will enlarge your bust again and make you more prone to breast droop. Having a flat upper breast is a natural breast shape, a rounded upper breast is an artificial appearance and unlikely to last long term. Go natural and use only your own breast tissue. 

I would sit with an experienced PS and look at example of breast reduction only and breast reduction with fat transfer / implants to understand what is possible in patients such as yourself. Personally I think that you would be best to consider a reduction initially and consider implants secondarily.

The first question you need to ask yourself is if you want to be bigger or smaller than your current size. If you want to be bigger, then augmentation and mastopexy might be a possibility. If you want to be smaller, then breast reduction alone into her best bet. Remember, if you are not pleased with flattening of the top of the breast after breast reduction, you can always have augmentation. It is not wise to do a reduction and augmentation together, however.Your board certified plastic surgeon will be able to evaluate you in person and give you good options. Best of luck to you!

In your case, in order to avoid complications, I would suggest that you undergo breast reduction first;  hopefully you will be pleased with the outcome of this procedure and not require any further surgery (including the use of breast implants).   Having said that, there are patients  who elect to undergo a second stage breast augmentation procedure to change breast shape and/or achieve more upper pole volume after previous breast reduction surgery.My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well. Working together you will come up with a good plan to achieve your goals.  Best wishes.