While I stand by my original statements regarding the implantedness of the two top images, Mehndi is right. My ex-wife had a reduction mammoplasty and it pretty much sucks. Then there's the scarring issue. There is most often extensive scarring, which, for a few fortunate women becomes somewhat unnoticable. For others it stays pretty bad. Think about it: scarred up breasts. Considering how much self esteem many woman derive from the beauty of her breasts (kindof like the size issue for men) it's no wonder many choose to forego the surgery. Things may have improved in the last ten years though, I'm not sure. There are many reasons for not having surgery. One of them is religion. A friend of mine has a mother who is VERY religious -- a hard-core evangelical. One of the women in her church, who had massive mammaries like those above, was abandoned by her husband and was nearly destitute and unable to support herself and her kids. Still young and attractive, she discovered that she could make a lot of money in the adult video industry and, to the horror of the church, she dropped out and did just that (solo work). My friend's mom, in a stunning display of open-mindedness (and naet in my opinion), said "Well with what the Good Lord gave her, what else was she going to do?"