See size 38b breast pics. I'm going to have a BR done & per my ins requirements I will need to go down to a B cup.

The combination of breast reduction and tummy tuck takes at least 8 hours. the safety of this combined procedure primarily depends on your health and presence of medical conditions. If you are young, healthy, and not extremely obese then this combined procedure would be safe during that time period

You will definitely have a significant amount of breast tissue after 1000g reduction, however the quality is difficult to assess from a photo. A volumetric 3D scan eg Crisalix may help.

Based on the information you provided you would likely benefit from a breast reduction.  Many of my patients state "why didn't I do this sooner" after having undergone a breast reduction.  Back pain, neck pain and upper body tension can be lessened after breast reduction surgery.  A consult is...