Breasts too perky to reduce! What can be done? (photo)

I think you have very clearly told your surgeon that your breasts aren't perfect for you.  Though other women may ask for breasts of your size and shape, they are large for your frame.  I don't think your closely-spaced breasts are the reason they haven't sagged and I think it's very reasonable for you to consider breast reduction.  The surgery would have to be planned to remove much less skin than is done in most breast reduction surgery, which I think would minimize any tension on the skin of the center of your chest and avoid an unnatural shape that could be considered a uniboob.  I suggest seeking a second opinion.

Thank you for you question and photos,         The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski