My breasts are a 46 DDD. I've had breasts from the 2nd grade. I weigh 220. Am I a candidate for the surgery? (Photo)

You are a good candidate for breast reduction surgery as long as you do not have any untreated medical conditions like hypertension or diabetes.  Some weight loss prior to surgery would help optimize your results. 

Thank you for the question. Based on your description, you may be an excellent candidate for breast reduction surgery. This operation tends to be one of the most patient pleasing operations to perform.   You will be best off getting as close as possible to your long-term stable weight prior to proceeding.

“Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts.

Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.

Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well. Poor scarring, for example may be associated with the procedure. Additional surgery may be necessary in the short or longer term for a multitude of reasons. Timing of service should be individualized based on the specific patient's life circumstances and preferences.

When the time is right, I suggest that you seek consultation with well experienced plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with. 

I hope this, and the attached link (dedicated to breast reduction surgery concerns), helps. Best wishes.
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