I do not believe any of the women in those unfortunate images have implants. They were unfortunately born the way they are. Chailynne, enjoying attention is usually not what causes women in these circumstances to not seek out reduction mammoplasty, so much as inability to afford such surgery, which is MUCH more expensive than implants to enlarge one. Reduction Mammoplasty is also incredibly painful to recover from, and has a long recovery period in which time period the woman is unable to use her arms effectively or move her upper body for very much due to the severity of the pain. Even raising a glass of water to one's mouth to take a drink feels as if your whole body is on fire for the first couple of weeks after such surgery. Some very broad minded insurance policies will cover reduction mammoplasty for women over a certain size, but then only if there is evidence of spinal and neck problems from carrying such weight on their frames, migraines, severe emotional problems associated with the deformity, etc. And they give one a VERY hard time in covering this cost... it can become quite a life's quest to achieve becoming one of the fortunate few who have been able to get such surgery. The effects of that surgery though are so wonderful. It is like a new lease on life for the woman.