This depends on your anatomy and desired look to achieve with the breast reduction surgery. If you want to maintain or enhance breast volume while reducing size, implants can help achieve a fuller look. Sometimes, an implant might be necessary after a reduction to achieve the desired shape and fullness, especially if significant tissue removal results in a loss of upper pole fullness or a flat appearance. Thanks to this combination of tissue removal and implant placement, the surgeon can ensure both a decrease in breast size and an enhanced contour.