Well I had the option of having my good breast reduced, lifted or expanded with an implant on Medicare when I had the reconstruction (post mastectomy) on the other side. I opted not to, and directed the surgeon to make my reconstruction with natural droop to match the other one. I was an act of radical self love. Bear in mind with a lift/reduction there is a risk of permanent loss of sensation to the nipple, as they often cut right around it and then reattach it in the new position.