I have broad shoulders, I'm 40F, I want to get a breast lift and possible reduction. (Photo)

Dear redheadedgirl,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

An in person consultation would be best for a detailed exam and evaluation, always see a board certified PS.

Hello and thank you for the question. The best advice you can get is from a direct one-to-one consultation with a plastic surgeon. From your description it sounds like you benefit from a breast reduction, which removes excess breast tissue and elevates nipple-areola complexes. The end result is smaller perkier breasts. Breast reduction will not make your shoulder appear larger. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon

A breast lift and reduction shouldn't make your shoulder look larger after surgery. If your large breasts are causing neck or back pain, that will decrease with a reduction. We recommend scheduling a consultation with your plastic surgeon for an examination and to address all of your concerns.

If you feel top heavy, and are an F cup it sounds like you will benefit from a breast reduction.  You will also get a breast lift at the same time, but some breast tissue will be removed as well, making your cup size smaller and relieving neck and shoulder strain.   This is one of my specialties and women always look thinner after a breast reduction.  They feel better too and are able to exercise more comfortably.  Good luck!