Breast augmentation surgery is among the two most commonly performed plastic surgery procedures worldwide as this allows women with small breasts to get the breasts of their dreams in a matter of hours and with minimal complications associated with it. Breast reduction surgery does the opposite: it helps women with overly large breasts get rid of the excessive volume of their breasts to have a bust more proportionate to the rest of their body. So you might wonder why would someone have a breast reduction with implant surgery. The reality is that there are two cases in which the implants might be necessary after a breast reduction. First, there are patients who need to undergo a breast reduction to get rid of the excess of mammary gland but also want to achieve breasts that are full and round and perky on the chest wall. In other words, they want upper pole fullness of the breasts. This upper pole fullness is often missing for women who have saggy breasts. Women who like the breasts in the shape of a tear won’t need to get implants after breast reduction, but if you desire round, full breasts that have an impressive upper pole fullness, the plastic surgeon might recommend you to get implants during breast reduction. This is not always the case, and amazing results can be achieved with breast reduction alone, but some patients are happier to get the shape of the breasts they desire by getting implants. When implants are used, we have full control of the size and shape of the breasts, and this is another reason why sometimes women prefer to get a breast reduction with implants. When considering breast reduction, it is always a good idea to try to imagine how you want your breasts to look like after the procedure and try to put this image to words when discussing with the plastic surgeon. Moreover, if you can find pictures to illustrate the results you are expecting, also make sure to bring them to the pre-operative consultation. It will help the plastic surgeon get a better idea of what you want to achieve and also if your expectations are realistic or not. It will also help you avoid unsatisfactory results. This brings us to the second reason why women might want to get implants after having a breast reduction: the results achieved with breast reduction are not satisfactory. It can happen for the breasts to be too small after breast reduction compared to the expectations of the patient. If this is the case, make sure to wait a year before scheduling another consultation to correct the results of the breast reduction. Implants can be recommended to increase the size of the breasts, but fat transfer might also be an option.