Can I get a breast reduction then implants?

Based on your complaints, you are a good candidate for breast reduction surgery. This surgery will help to reshape your breast and you will be able to move comfortably as your proporion will improve. To start the process, you should contact a Board Certified Surgeon. I wish you all the best.

You are absolutely correct in your assessment of breast lift/reduction techniques often not giving long-term upper pole fullness and this is the most common reason why women in my practice rarely undergo a lift procedure alone rather than a lift with implants (in addition to the desire for more volume in many cases).  It is important to understand that the technique for reduction and lifting is often the same or very similar and a lift can be done with or without volume reduction but a reduction is virtually never done without a lift as well.  However, adding implants does have its own set of downsides including long-term implant maintenance issues such as malposition, rupture, or capsular contracture (firm scar tissue forming around the implants).  There are some alternative techniques such as the way the lift is done and possibly adding a material such a stattice (acellular dermal matrix) to act as an internal bra to produce more long-term upper pole fullness using only your own beast tissue, of which it sounds as though you have plenty.  Even if you do chose to proceed with a reduction and an implant, I still believe these two procedures can easily be combined to try to avoid a two-stage procedure, which is more costly and requires two separate recovery periods (to include light activity as well as time off work).  The technique would simply be a modification of a lift with an augmentation (and as I mentioned a lift and reduction are done through very similar techniques), 2 procedures which are routinely done together, at least in my practice.  You may have to consult with several plastic surgeons to fully understand all of your options and also find someone who understands what you are looking for in your final result and feels that it can be safely and effectively delivered in one vs two surgeries.  Best of luck!

Rather than making breasts smaller then larger again with implants, it might be a better idea to have the reduction done with a GalaFLEX internal bra to maintain the shape. It transforms into living tissue over time and helps maintain upper pole fullness..