Nina S. Naidu, MD

I would not recommend having implants placed at the time of a breast reduction for the sole purpose of allowing your surgeon to remove enough volume for the insurance company.  Not only will this potentially create issues with the blood supply to your breasts and nipples, it would be considered fraud if your surgeon tried to get the insurance company to pay for the implants or time required to place them.  I would recommend having the breast reduction done to reduce you to the size you want, but just prepared that you may have to pay out of pocket if the insurance company decides that enough tissue was not removed from the breasts.  In some cases, they will request a copy of the operative report or pathology report to verify that the stated amount was in fact removed.  Good luck, /nsn.