This is the kind of thing that gives plastic surgery a bad name.

We are supposed to be caregivers, not merchants.  That means we are supposed to think about what is best for the woman, even if she does not have good judgement.  Actually, one of the great things about our field is that you can do well (make a very good living) by doing good (taking the best possible care of the patient).

No responsible doctor would do this. There are increased risks during surgery, such as the implant coming out through the wound.  There are increased risks after surgery, such as loss of nipple sensation, breast tissue atrophy from the pressure, thinning and stretching of the skin from the weight, difficulty in diagnosing breast cancer.  And imagine how these breasts are going to age.