My daughter is 14 years old 4'9 with a 38DD breast and her back and shoulders hurt all the time. (Photo)

Given that your daughter has symptoms with macromastia (large breasts) she may be a candidate for breast reduction. The first step is to schedule an appointment with a Board Certified Plastic Surgeon and discuss the risks and benefits of this procedure and decide if its right for you. #BreastReduction #Macromastia #largebreasts #plasticsurgery 

I'm sorry to hear about the physical and psychosocial problems your daughter's disproportionately large breasts are causing her. I am glad however that she has your support and understanding. 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 psychological distress.
Although it may be slightly too early to undergo this procedure, 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. Again, it is hopeful that she has her support as you both do the homework.
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. Best wishes.

Thank you for the photos and clearly your daughter will benefit from a breast reduction when her breasts are finally stable in size for a year but now is a good time to find experts in your area to help you Dr Corbin

Your daughter is definitely a candidate for breast reduction.  However you must weigh the advantages against the potential disadvantages and complications.  At age 14, with juvenile hypertrophy, her breasts have probably not stopped growing yet.  Therefore if you perform the surgery now, she will most likely need a revision when she is 20 years old.  Also, the scars are significant, and she must be able to live with them. Other disadvantages are the fact that she may have trouble nursing a baby when she has children.On the other hand the advantages of the doing surgery now are prevention of likely spinal deformity from the weight of her breasts, and immediate relief from the pain in her back, neck, and shoulders from the reduction of weight on the front of her chest.  Positive Psychological effects are also considerable, and will result  better self image, more interest in clothes that are normal size, relief from harassment from boys and other teenagers.Personally, if she were my daughter, I would advise her to have the surgery at the end of the school year, and take the risk of needing more surgery in the future.  However, you need to consult with a Board Certified Plastic surgeon, check her hormone levels, and make sure there is no pathology in her breast, before you undertake the surgery.  Good Luck.  I realize this is a real problem for you both, but talk about it,  discuss the pros and cons,and make a decision after consulting your surgeon.

Thank you for a wonderful question, and i'm really sorry for the problems you and your daughter are going through. breast reduction surgery is indeed the best treatment for macromastia (wend breast weight exceeds approximately 3% of the total body weight). since your daughter is very young some issues will need to be study before talking about the surgery. like the hormones levels of your daughter, the symmetry between the breast (look up poland syndrome) a mammography, etc to make sure that the treatment of choosing is the right one and to make sure nothing goes undiscovered so she can have a normal life.