Breast reduction with implants?

Hello @jgregori14, thank you for your question. You can have breast reduction with implant but is important that you are aware that placement of the implant determined the form as well and that you need to change your implants every 10 years. Implants are not devices for life. When you undergo a reduction procedure and the surgeon positions the breast in its ideal position, where the pectoral mammary tissue is anchored, the mammary tissue is repositioned by taking what you already have from the center upwards, and where the excess skin is removed, the procedure should produce excellent results without prosthesis. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Surgeons use different techniques to remove and rearrange excess breast tissue. Although the length of the breast fold scar can be shorter, the scars on the skin are typically in the same pattern but the underlying reconstruction is unique. These different techniques result in a variety of outcomes. UsIng the superior pedicle technique, I find that there is a nicer rounding of the breast and a better maintenance of the mid and upper part of the breasts. An implant is not typically placed at the same time as a reduction. This is especially the case for a surgery being covered by insurance. An implant may be added during a breast lift mastopexy only procedure. We perform full breast reductions and breast lifts under local anesthesia in the office. No general anesthesia!

Hello and thank you for your question.
It is possible to have a reduction and a placement of implants. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

In order to provide long term stability of result, placement of the breast implant after significant breast reduction is a concept that we used in the past. Significant reductions, even in young individual like you, may and up with shapeless breasts in particular if someone opts for very small size like C or B cup. Addition of implant can help to shape the breast and provide longer lasting result. In same cases, however, this should be performed in two stages; reduction first followed with implant placement and possible revision, 6-12 months later. Hope this helps.

I would advise that you move forward with breast reduction first. Although you can achieve an aesthetically pleasing look with reduction alone, you can eventually add an implant for upper pole fullness. Waiting many months in between surgeries is advised. In my practice, I always separate lifts/reductions from placing implants due to risk profile associated with performing them together.

Hello, that is possible to use implants even with very large breasts. Reducing the volume and putting a small implant is an option only if your nipple position allows. In very ptotic breasts which we have to move the nipple-areola complex a lot, It is not recommended to put implant at the same time. If it's big only, implant is ok. But if it's big and massive saggy, It would be safer to do it without implant. In this case you may have a second session minimum 6 months later for an implant. Best regards.

If you are a 34 DDD the last thing you need is implants. There is a misconception that implants are required for upper pole fullness but that is not true. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique is not covered by insurance.

Best Wishes,

Gary Horndeski, M.D.

Adding breast implants to a reduction is sometimes used to produce upper fullness of the breast. Doing both at the same time makes the operation much more difficult and risky. I would just do the reduction first. You can sissy’s add implants later

It is possible - but I would suggest you obtain an in person consult with a few surgeons. Look at some of my breast reduction photos on real self to see if they look similar to what you are describing

Hi, thanks for your question. You are right, you can get excellent results in Breast reduction with implants to give you the shape and size you want. Anyway, you must have a physical exam with a board-certified plastic surgeon to get the most realistic expectations. Good luck!