I am a size 32DDD or 34DD and weigh 126lbs. I’m 5’4 (1/2). Breasts are saggy for being 20 and hurt my neck, back & shoulders

Thanks for your question.
It sounds like you are a great candidate for breast reduction surgery. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by medical insurance. If not, your medical insurance may try to deny you based upon a lot of things such as weight, lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed.
Read your medical insurance certificate of coverage. Determine what medical information is required for your medical provider to issue a pre-authorization or predetermination of benefits for BR surgery. Then seek consultation with a board certified plastic surgeon who can evaluate your medical condition, discuss the pros and cons of this surgery as it applies to you, determine the amount of tissue to be removed, and help you in completing the paperwork required by your medical insurance company.

Dear Diligent738352,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

It sounds like you may need a breast reduction. I would call your insurance company and find out what their criteria are and then consult with a plastic surgeon. Insurance may or may not cover it but that’s the first thing you need to find out.

From your description it sounds like you'd be a great candidate for a breast reduction. This procedure will remove excess breast volume, helping to reduce the weight on your neck, back and shoulders. Part of the procedure also includes a lift so your nipple position will be raised and the sagging corrected. I've included a video that I hope you find helpful.

Sorry for your problem but you sound like an excellent candidate for a breast reduction. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results and look at photos of similar patients and become fully informed about the desired procedure

Dr Corbin

Based on your description, you are most likely a good candidate for a breast reduction. This surgery should help to relieve your back and shoulder pain, and lift your saggy breasts. An in person consultation will provide you with more in depth information about the surgery. Thank you for sharing your question.