Will my posture and neck pain improve after breast reduction surgery?

Generally speaking, breast reduction surgery is one of the most patient pleasing operations we perform. By removing “excess” breast tissue, adipose tissue, and breast skin  this operation reduces and lifts the breasts to a higher position on the chest wall. By doing so, patients often find improvement in neck, back, and shoulder discomfort and find it easier to form their activities of daily living and exercise.
Other than the presence of symptoms, the “ideal” patient for breast reduction surgery is one who is psycho socially/emotionally/financially stable, has an excellent social support system surrounding her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.
Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well. Poor scarring, for example may be associated with the procedure.
When the time is right, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. Make sure that you do let your plastic surgeon know about your history of lupus and/or any other medical problems, habits… Best wishes.

You should definitely tell your surgeon that you have Lupus, or any other medical condition that you may have. You still may be able to go through with your surgery if it is deemed safe by your surgeon.Reducing the size of heavy, large breasts can decrease the pain and discomfort associated with them. While nothing is every "for sure", there's a good chance that you'll experience relief following surgery if your pain is caused by your breasts.

Since you are 20 years old and a 34 G, I would recommend
breast reduction for 2 reasons. One, it
will relieve neck, back or shoulder pain associated with large breasts. Two, it will produce beautiful breasts that
maintain their function. The most
commonly used technique currently is the Wise pattern, which was developed in
1956, results in ugly vertical scars, nipple numbness and the inability to
breast feed. In my opinion, this
technique is obsolete, even though it is still used. I recommend a new technique called The
Ultimate Breast ReductionTM.
This technique avoids the ugly vertical scars, maintains nipple sensation
and the ability to breast feed. The
breasts are reshaped creating upper pole fullness, elevated higher on the chest
wall and more medial to increase your cleavage.
The weight of the breast is transferred to the underlying muscle
resulting in immediate pain relief. This
allows the patient to have pain free beautiful functional breasts without he
ugly vertical scars of the traditional technique. Best Wishes,Gary Horndeski, M.D.