Pregnancy will usually change the appearance of a woman's breasts, even if you choose to not breast feed. In your case, I think the more important thing to know is that breast reduction surgery can affect you ability to breast feed. For many women, this is very important and so they do not want to have any procedure that would risk losing this ability. On the other hand, for some women, the back and neck pain that they are experiencing from the size and weight of their breasts is so bad that they need the reduction procedure to improve their quality of life.
In addition, after your pregnancy, whether or not you breast feed and whether or not you have a reduction, your breasts will change, so I don't think that should be the reason to avoid having surgery now. I would consult with a Board Certified Plastic Surgeon who can review with you the pros and cons of the breast reduction procedure in detail-- this is the best way to find out if is the right choice for you.
Good luck!
Dr. Salemy
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