44 DD cup after HRT. Is breast reduction an option? (Photos)

On the front and lateral views you look more droopy than really large. But since they feel too heavy, a lift with some degree of reduction is indicated. The amount to be removed would be done after careful consideration and consultation with your plastic surgeon.
There is no reason you could not or should not have a breast reduction like any other genotypic female person.

Thank you for your question. You seem to be a candidate for a breast reduction with lift. It removes excess tissue and skin, re-centers and reshapes the nipple and areola complex, restores upper-pole support, and reliably improves neck/shoulder/back pain and sleep. Please consider stopping or even decreasing the HRT dose with your healthcare practitioner and have an in-person examination with a board-certified surgeon to confirm tissue composition, skin quality, target size and shape, scar pattern, and peri-operative plan.

Based on your photos, you appear to be an excellent candidate for a breast reduction. Many women who seek this procedure experience symptoms similar to yours, such as headaches, back pain, and difficulty with physical activities like exercise. I am confident that a breast reduction would not only improve your physical comfort but also help alleviate these symptoms. A breast reduction would not only reduce the volume of your breasts, it would give them a lifted, more youthful appearance. I typically use an absorbable mesh that creates an internal support bra to acheive long-lasting results and include lipocution to the outer breast/armpit area to ensure nice, smooth contouring.

I highly recommend seeking out a board certified plastic surgeon that can address your concerns and help you acheive your aesthetic goals. Best of luck to you!

Thank you for your question! I do think that could be an option for you. However, if you had some of these problems prior to the breast growth, you may need to find out the root of the cause. Best of luck!

Based off your brief summary of symptoms and photos - almost all of your issues could be related and stemming from the HRT. Now the question is, are you willing to stop the HRT or decrease dosage to reduce some of these symptoms? Or perhaps speak to your physician for alternatives that could be less symptom related. If you were able to reduce your weight, you would decrease your breast size as well as possibly some back and shoulder issues that are related to that aspect - which leads to all the other secondary symptoms on top of that.
As far as getting a breast reduction, yes you can potentially but review the different scars that are done online with breast reductions (anchor pattern, lollipop pattern) prior to seeking a few surgeons for opinions on your breast. It can be done but will it solve all those issues you mentioned? Likely not.

You do appear to be a breast lift (mastopexy) candidate with a small reduction. This will be nice to alleviate some weight and position nipple areolar complexes at the maximally projecting position on breasts.

Based on your nicely posted photos, you would need a full medical clearance for your H ROT issues prior to having more of a lift than a reduction. I would label this a lift small reduction. Expect fee to rent from $5000-$10,000. Best of a virtual consult with.

Cup size is sometimes quite subjective. To me you are not a DD cup. A typical breast reduction usually removes a pound or more of breast tissue per side. A breast lift may be a more appropriate procedure.
I suggest you consult with plastic surgeons in your area.
best,
Mats Hagstrom MD