Would a Breast Lift (I don't care how small at this point to be honest!) help with pain from hernia?

A breast lift or reduction could potentially help with the pain in your neck, back, and shoulders caused by heavy, sagging breasts. Many people experience relief from these types of discomfort after reducing breast size or lifting the breasts, as it can improve posture and alleviate pressure on the upper body.
However, regarding your hernia, a breast lift is unlikely to have any direct effect on your hiatal hernia pain. The two conditions are not related, and addressing the hernia itself would typically require a different treatment, such as hernia repair surgery.
It's important to consult with an experienced plastic surgeon. Your doctor may be able to help you manage the hernia and provide a referral for a general surgeon, while the plastic surgeon can discuss the benefits of a breast lift or reduction to alleviate the discomfort caused by the weight of your breasts.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

It sounds that some of those symptoms are related to your large breast. Breast reduction may be the best answer to that? In person consultation with a board certified plastic surgeon is recommended. Good luck.

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 and nipple sensation (in 95%) is maintained. With this technique, you can go braless.

Best Wishes,

Gary Horndeski, M.D.