Possible to Have Complete Breast Reduction and Implants?

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.

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!