I am a 42ddd can i get an breast reduction?

Hello,Please go visit a few ABPS certified/ASAPS member surgeons that are expert in cosmetic breast surgery. You will be evaluated and the best course of action can be taken.Best of luck!

Breast reduction  is the perfect operation for you because it will provide you with the relief of the excess weight that you're handling due to your breasts and it will also improve the aesthetic appearance of your breast.  I highly recommend that you see if you board-certified plastic surgeon's so you can get multiple opinions on what your options are. I think you will be very happy if you have this operation because it will improve your quality of life and activities of daily living.

Thank you for the question. Based on your description, you may be a good candidate for breast reduction surgery. “Official” recommendations of course would necessitate in-person consultation.
Breast reduction surgery is one of the most patient pleasing operations we perform. By removing “excess” breast tissue, adipose tissue, and breast skin this operation reduces AND lifts the breasts to a higher position on the chest wall (in other words, the breasts are "automatically" lifted when a breast reduction is performed). By doing so, patients often find improvement in neck, back, and shoulder discomfort and find it easier to form their activities of daily living and exercise.
Timing of the operation will depend on the patient's life circumstances.  
When the time is right, seek consultation with well-trained/experienced board-certified plastic surgeons. Ask to see lots of examples of their work and communicate your goals clearly. Best NOT to communicate your goals in terms of achieving a specific cup size; this type of communication can be a source of miscommunication. In my practice, I prefer the use's of goal pictures during this communication phase; many patients wish to remove enough breast tissue to improve/alleviate symptoms while maintaining upper/lower body proportionality.
I hope this, and the attached link (dedicated to breast reduction surgery concerns), helps.