I am 270 pounds and 5 ft 3. Is it possible to get a breast reduction? (Photo)

Dear divineangel94,
Most plastic surgeons use BMI to calculate the risk of complications. BMI over 30 is a significant risk factor for surgical complications so most plastic surgeons refuse to do elective procedures on overweight patients. If you are considering a surgery, I would suggest you to 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

You need a formal evaluation by a licensed plastic surgeon and expert in breast reductions to determine what is best for you and your goals.
Breast reduction is one of my favorite surgeries as it allows me to dramatically improve a woman’s breast appearance as well as alleviate many physical symptoms of large breasts, such as back, neck and shoulder pain, bra strap grooving, and rashes under the breasts. When I perform breast reduction surgery, I generally use a superomedial pedicle to provide blood supply to the nipple while maintaining fullness in the upper and inner breast. Excess lower and outer breast tissue are removed. Breasts are often asymmetrical, so I remove more tissue from the larger breast. The final scar pattern is a circle around the areola, down the breast, and possibly under the breast, depending on the degree of skin excess.
For me, breast reduction is not a one-size-fits-all surgery. The size and shape of the breasts are customized to each patient depending on her goals and desires. Some women want a significant amount of tissue removed while others prefer to have a more limited reduction. Regardless of the amount of tissue removal, I perform the maximum safe amount of lifting and tightening for each patient.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Reductions. - Dr. Cohen

With a current BMI of approximately 47.8, safety and healing would be issues in undergoing a BR.  Being categorized as obese increases the risks of complications during and after surgery; in addition, the final results of the surgery will be less than you desire.  Recommend that you consult with your primary care physician who can recommend a diet that you can follow and can refer you to a trainer who can recommend minimal exercises which will help you feel better and drop the weight.BRs which are medically necessary (i.e. you suffer back, shoulder, head, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by most medical insurance providers.  Read your medical insurance certificate of coverage. Determine what medical information is required for your medical insurance to issue a pre-authorization or predetermination of benefits for the BR surgery. Consult with a board certified PS who can evaluate your medical condition and history, discuss the pros and cons of this surgery as it applies to you, and help you in completing the paperwork required.