When I analyze a candidate for breast reduction surgery I look for tell tale signs of overly large breasts. Bra and cup size are a great place to start. Patients with a bra and cup size that are too big for their frame may be candidates for breast reduction surgery. Problems associated with overly large breasts may include breast pain, bra strap grooving, rashes, back/neck pain, need for muscle relaxants/pain relievers, difficulty finding bras/clothes that fit, difficulty with engaging in exercise, social embarrassment, etc.
A good candidate meets many of the above criteria. My experience with breast reduction patients are that they are the most satisfied patients I have. Their quality of life is typically enhanced.
In many cases, health insurance might cover the costs associated with breast reduction surgery.
When it comes to being overweight, some aspects of breast reduction surgery become more problematic. Very fatty breasts can heal a bit more slowly. Additionally, symptoms in the obese can't always just be attributed to large breasts. A large belly can also strain the back and neck. Finally, anesthesia is more risky in the obese. I prefer that patients be no more than 30% above ideal body weight to optimize for surgery. That doesn't mean that you can't have surgery if you are obese, it just means you have to seriously weigh the risks vs. benefits.
Good luck.
