My daughter is 12 years old and already wearing a 34h bra size is it too soon to consider Breast Reduction surgery?

I'm sorry to hear about the physical and psychosocial problems your daughter's disproportionately large breasts are causing her. 
It is probable that she is dealing with juvenile breast hypertrophy along with the physical and psychosocial consequences of this diagnosis. In other words, the breasts are too large for her frame causing  both physical and psychosocial distress.
In my practice, timing of breast reduction surgery is determined on a case-by-case basis. It is not too early to do your homework and learn as much as possible  about  breast reduction surgery and the potential risks and complications associated with  the procedure.   
As she learns about breast reduction surgery, make sure she reads about the potential risk/complications associated with the procedure. You may find the attached link helpful in this regard.  For example, unsatisfactory scarring is  one of the potential complications. Make sure she also understands that further surgery may be necessary in the future (for example if the breasts were to grow in size again).
On the other hand, breast reduction surgery is one of the most patient pleasing operations we perform and I think that for the right teenager (enough symptoms) it may be an excellent option (regardless of the age).

Sometimes breast  reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.
 When the time is right,  seek consultation with well-trained/experienced board-certified plastic surgeons.



I hope this, and the attached link, helps.

Hi there.  Thank you for your question!  I know you are concerned with your daughter's breast growth and relating issues that are arising at school.  Middle school is difficult enough on it's own and to have an issue as early breast growth can make it more difficult for your daughter.  I feel she is too young yet to have surgical intervention.  Her breasts will continue to grown until she has finished going through puberty.  Please do take her to a Board Certified Plastic Surgeon just to discuss future options.  Also, purchasing a well fitting sports bra for her would help her during PE. (it may also hide the size of her breasts if it is snug enough)  I wish your daughter the best!

I usually suggest that the girls wait until age 15-16 to allow for the growth of their breasts, and be mature enough to help make the decision for a breast reduction.  However, if she is extremely large and is very motivated, she can have a reduction. She needs to understand that she could still grow, and may need a second surgery. Also, she needs to understand about the scarring, possible numbness, and possibly not be able to breast feed. If she is not very mature for her age, I would suggest waiting. You could take her for a consultation with a plastic surgeon so she can start to understand what is involved with a breast reduction. You may need a referral from her pediatrician for the consultation. You might want to discuss this surgery with her pediatrician first.