Surgery on 10/23, and it’s been and still is a nightmare since, are tightness and pain causing lack of sleep normal? (Photo)

Dear ThomasineDBS,this type of wound is not uncommon after breast reduction. It is usually caused by poor blood flow. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Very large breast reductions can have wound healing issues due to alterations in blood flow.   You will heal but need to insist on seeing the surgeon.  A good wound care regimen, frequent visits and the surgeon monitoring your progress is important.  If there is fluid draining you may need a procedure.  It will be worth it in the long run.  Make sure you aren't overdoing it in the meantime and if you smoke, stop!  best wishes to you