Breast reduction can be a very reasonable option when breast size is contributing to neck or back pain, shoulder grooving, rashes, or difficulty with activity. I reviewed the photos; they show large, heavy-appearing breasts with some droop, so reduction with a lift pattern could potentially improve both weight and shape, but an in-person exam is needed to judge safely. Being a little overweight does not automatically make it a bad idea, but it is best to be at a stable, healthy weight because weight changes after surgery can change the result. A consultation should review your BMI, smoking status, medical history, breast measurements, expected tissue removal, and whether insurance documentation is needed for symptomatic reduction.