30F/ 30G in UK / US - bad posture and back pain. Should I do a breast reduction?

Question

Hi , im not sure if i should do breast reduction. I am currently 21 yrs old and my breast is 30F/ 30G in UK / US sizing. My height is 152 cm and my weight is 50 kg. Most of my weight comes from my breasts and I have a very bad posture and back pain . Im also struggling to find a bra that fits me perfectly.

Joshua Cooper, MD, FACS · Answer

It is extremely likely that you will benefit from a breast reduction! Even without seeing any photos, I can say based upon your description that it would be beneficial. I have many breast reduction patients who are in their twenties, and each one was elated with her results. Definitely meet with a board certified plastic surgeon to be evaluated and find out more!

I attached a link to a 20 year patient of mine with very large breasts and asymmetry. She loves her results!

I attached a link to a 20 year patient of mine with very large breasts and asymmetry. She loves her results!

Emre Guvercin, MD, FEBOPRAS · Answer

Hi &mdash; based on what you’ve described, yes, you are a very strong candidate for breast reduction, and your symptoms are exactly the kind reduction surgery is meant to address.Why your breasts are likely the main problemAt 152 cm (5’0”) and 50 kg, a 30F/30G breast size represents a very high breast-to-body ratio. When most of your body weight is coming from the chest, it commonly leads to:Chronic back, neck, and shoulder painForward-rounded postureBra strap grooving and difficulty finding supportive brasFatigue and discomfort during daily activitiesDifficulty with exercise and clothing fitThese are not cosmetic complaints &mdash; they are functional and orthopedic issues.Is breast reduction reasonable at your age (21)?Yes. Breast reduction is not age-restricted when symptoms are significant.In young, healthy patients like you:Healing is usually excellentLong-term relief is highPosture often improves dramaticallyQuality of life improves substantiallyWaiting does not usually make things better when symptoms are already present.How small would you need to go to feel relief?You do not need to go extremely small to feel better.Most patients with your frame feel major relief when reduced to:Small C or full B cupThis size:Relieves weight and strainAllows normal bras and sports brasMaintains a natural, proportional breast shapeAvoids the flat or boxy look that can happen with overly aggressive reductionsWhy a Push-Up Breast Reduction matters in your caseA Push-Up Breast Reduction is especially important for petite patients like you.This technique:Removes excess weight while preserving projectionRepositions the remaining breast tissue upward and inwardPrevents a flat or wide breast shape after reductionReduces tension on the skin → better scarsMaintains a youthful, natural contourIt’s not just about making the breast smaller &mdash; it’s about making it lighter, higher, and better supported.What about posture &mdash; will it really improve?Very often, yes.Patients frequently notice:Immediate relief in upper back and shoulder tensionEasier upright posture without constant effortImproved balance and comfort during walking and exercisePhysical therapy can help posture &mdash; but it cannot overcome the constant forward pull of very heavy breasts.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided any photographs. At size 30 F or G, each 100 grams of breast tissue removed corresponds to 1 cup size change. The technique I recommend is The Bellesoma Method. This will reduce and 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 without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donovan Rosas, MD · Answer

Breast reduction is a surgical procedure designed to reduce the amount of breast tissue. Reduction is recommended for women that experience a significant amount of discomfort due to the weight and size of their breasts (shoulder, back, neck pain). They may have difficulty exercising or wearing certain types of clothing. During surgery, excess skin, fat and breast tissue may be removed as well to improve sagging. The sagging nipple position is corrected and the breast is reshaped. The incision is typically made around the nipple, extending vertically down to the crease, and then ending in a horizontal line within the breast crease. Based on your narrative, it would seem that you are a reasonable candidate for surgery. However, there is no replacement for an in-person consultation/exam. As always discuss your concerns with a board certified plastic surgeon (ABPS).

Cihan Sahin, MD · Answer

Almost all patients who had breast reduction surgery says same thing "I wish I had the surgery before"

Daniel Barrett, MD · Answer

Dear Rascalychee,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Francisco Javier, MD · Answer

At 21 years old and with your current measurements, it is understandable that your breasts may feel disproportionately heavy for your frame. A reduction could help improve posture, reduce pain, and make daily activities more comfortable.

Warren Schutte, MD · Answer

You are likely a good candidate for breast reduction. I would consult with surgeons in your area to get a better idea of what breast reduction would look like for you. Some patients have reduction through health insurance and others have it done on their own terms, cosmetically. Many people express relief from symptoms associated with large breasts after breasts are reduced and placed in proper position on your chest wall.

Jacob Carlson, MD · Answer

Breast reduction surgery has a high rate of patient satisfaction, mainly because it addresses the cause of a lot of the symptoms patients may be experiencing. In the United States, for insurance-based cases, surgeons will determine how much breast tissue they are going to remove based on your body surface area. By removing the weight of that tissue, we are aiming at alleviating symptoms such as: upper back pain, neck pain, headaches, shoulder grooving from bras, and rashes between or underneath the breasts. Most patients report that they have significant improvement in these symptoms following surgery. Something to consider at your age would be whether you are planning on future pregnancy and if you want to potentially be able to breastfeed in the future. Some breast reductions require a free nipple grafts, after which, a patient is not able to breastfeed.

Camille Cash, MD · Answer

From your description you may be a candidate for breast reduction.  The procedure would reduce the breast volume as well as lift any sagging.  Though not a guarantee, many women report improvement in neck and back pain after breast reduction, as well as less discomfort when exercising.  See a board certified plastic surgeon near you for a consultation to learn more.

30F/ 30G in UK / US - bad posture and back pain. Should I do a breast reduction?

Answers (11)

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