44DD, size 22-24, about 5'11 or 6'0, 290lbs
seems like you have very large and heavy breasts. Your weight is also a little on the heavier side although you are very tall. you will benefit from a reduction and weight loss.
While it would require a physical examination to fully answer the question, your issue does have a resolution. Before offering any surgery, I would need to know if your height and weight are stable and unchanging. Weight loss is always an excellent suggestion, but unlikely to solve your problem. It sounds like you quite simply need breast reduction surgery for both comfort and cosmetic reasons. If your height and weight are stable, and the breast is a significant burden, then age becomes less important by about 16. Often breast reduction surgery results in patients more easily pursuing weight loss and excercise in the future. Lastly, most surgical techniques do not eliminate your ability to breast feed in the future. Good Luck
