Can I have a breast reduction and implants?

Breast Augmentation / Breast Reduction / Surgical Tips

21 Feb 2020

Can I have a breast reduction and implants?

Breast reductions are life-changing procedures to reduce the size and laxity of large breasts.

But are you also looking for cleavage fullness that implants provide?

Or, have you undergone a breast reduction procedure and then lost weight, so now want a fuller look?

Then a breast reduction, followed by breast implants may be a solution. But it is not right for all women, so it is important to understand when it may be possible.


What does a breast reduction do?

During a breast reduction procedure, an anchor incision is made around the nipple, down and under the breast which allows for volume reduction, reshaping, nipple/areola reduction and lift all in one operation.

Effectively fat, glandular tissue and skin are removed resulting in smaller, fuller and shapelier breasts.

Not only does this procedure help proportion a woman’s body, but it also allows for a woman to proceed with daily activities and exercise they previously found difficult.


So when do women have implants after a breast reduction?

Some women who have had breast reduction surgery go on to have implants. This is generally limited to women who experience weight loss following their breast reduction surgery. While the reduction was performed to proportion the breasts to the initial body weight, losing weight after the surgery can result in disproportion again.

This is why I always recommend that to remain at a stable and happy weight prior to having surgery with me. But if having a reduction made you feel more comfortable being active, then sometimes weight loss is a happy side-effect


Can I have the operations done together?

I generally perform these procedures as two operations (also known as ‘two-stage’) and here’s why.

When we look at what happens during a breast reduction and breast augmentation, both are trying to do two opposing things.

During a breast reduction, a significant amount of fat, tissue and skin is removed from the breast to effectively reduce the size. But the insertion of a breast implant stretches the breast skin and adds extra volume and weight.

If these procedures are performed together (known as “one-stage”), the result can be sub-optimal. After skin, tissue and fat is removed from the breasts and an implant is inserted, the internal force and weight of the implants pushing against the skin will result in the scars to be stretched. That pressure will push against the suture lines, also causing healing difficulties, and in some cases wound break-downs and infection.

Combining the procedures can also effect the final lifting and shaping effect. So they won’t end up as lifted or perky as the patient might have hoped.

So I find performing the breast reduction first, allowing the scars to fully heal and start to fade, before introducing the implants leads to smaller scars and overall better implant placement. I generally stage these operations 9-12 months apart.

When won't I recommend a reduction and implants

Some women like being very large breasted, but say they want a 'lift with just a little bit reduced' and implants to give them fuller 'upper pole'. This might seem like a good idea, but in reality won't look good in the longer term. 

If a breast is still a D up or larger even after the reduction, then the implant required to properly 'fill' the pocket would often need to be over 600cc and large implants like that are very prone to sagging quickly. More about why I don't offer very large implants is in this article.

Patient case study

This young woman had her reduction with me for all those health and lifestyle issues associated with large breasts. But then she came back to me nearly a year and a half later having become really healthy and active, resulting in a 10 kilo weight loss and her cup size had reduced to around a C-cup. She then wanted more fullness, especially at the top of her breasts, so we discussed implants.

You can see that inserting an implant has achieved those goals, in a way that would not be possible from trying to do everything in a single surgery.


The total cost of a breast reduction procedure is from $12,800 for an insured patient. All total out of pocket costs include the surgeon’s fee, anaesthetist’s fee, hospital stay and garment.

If you then go on to have a breast augmentation, you can discuss arrangements with our Practice Manager Jessica and there would be a saving from our standard price.


Try before you buy with a Vectra surgery simulation

A great way to ‘Try before you buy’ is to come in and have a $100 Vectra 3D photo simulation with my Jessica. Many patients love this service because it gives them a much better idea of sizing and placement than simply putting sizing implants in a bra can! And the $100 cost is rebated against your consultation with me if you decide to continue exploring if the surgery is right for you.


More information or to book a consultation

Discover more about breast reductions including information on hospital arrangements, recovery and a 3D animation explaining the procedure by visiting our breast reduction page here.

To contact our team to make an appointment with me, please call 4920 7700 or send us a message via the form below.

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Blog Author:

Dr Nicholas Moncrieff, Specialist Plastic Surgeon, Newcastle

About Dr Moncrieff

Dr Moncrieff focuses exclusively on breast reductions, breast lifts, breast augmentation, tummy tucks and body lifts.

He is one of only a handful of Cosmetic Plastic Surgeons across Australia with this sole breast and body focus.

Dr Moncrieff has performed thousands of surgical procedures over more than two decades in medicine. Over 20,000 of these procedures have been in Newcastle.

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