Is a breast reduction the best option for me? 20 years old, 38N (Photos)

Based on your photos, you are a good candidate for breast reduction surgery. This surgery will help to reshape your breast and you will be able to move comfortably as your proporion will improve. To start the process, you should contact a Board Certified Surgeon. I wish you all the best.

You appear to be a great candidate for a breast reduction, however you need to wait a few months after you stop breast feeding. It is possible that you will be able to breast feed after your surgery for future children. Be sure to consult with a Board Certified Plastic Surgeon. Good luck!

I usually recommend ladies wait 6 month after stopping their breast feeding before they do a breast reduction.  In my experience patients like you get significant relief from breast reduction.  It is possible to breast feed after breast reduction, but it's not a guarantee.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

The lactation process should be completed before breast reduction surgery is contemplated.  This may take a few months to 6 months or longer.  With most modern techniques of breast reduction, the ducts should be preserved as well as the sensation.  Therefore, breast-feeding should be possible.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Thank you for you question and photos,           You need to be completely dried up and finished breast feeding before undergoing any breast surgery.  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

Yes, reduction is a great option for you.  You do want to finish lactating but it may be worth stopping breast feeding now to get the size to go down some.  You may be able to breast feed a future child after breast reduction but it is not something that can be guaranteed.  Considering the size of your breasts, it may be more important to decrease your pain than being able to assure future breast feeding.  Breast reduction patients are the happiest of all plastic surgery patients. 
Schedule an appointment with a board certified plastic surgeon to discuss your options in person.

Based on the photos, you appear to be an excellent candidate for breast reduction. Consult in person with an experienced and expert board certified plastic surgeon to understand your options. 

A breast reduction would most definitely be the best option for you. Breast reductions through the year in patients of need such as yourself have been my happiest patients. The result would be much less neck and bak pain from the excess weight you are carrying.I highly recommend the procedure for you. Be sure you consult a plastic surgeon certified by the American Board of Plastic Surgery. Thank you for your question and photos, and make an appointment with a plastic surgeon in your area as soon as possible. Your relief will be immense. 

thanks for posting the images and detailed description of the problems you are suffering from. I gathered that during pregnancy the breast grew from 36J to 38 N. most often after you finish lactation some involution of breasts does happen, however it will be unlikely to drop below 36J. Even 36 J is a large size and would contribute directly to all the problems you have mentioned in your query. 
Breast reduction would be needed eventually. It would give you significant relief and improve your lifestyle. However you should consider that after your lactaion is over. The ability to lactate following a breast reduction depends on the technique used for reduction. If some gland is left attached to the nipple when it is being shifted and lifted, some lactation maybe possible. However, the amount may not be enough. You may have to resort to top feeds. 

Thank you for the question. Based on your pictures and description you may be an excellent candidate for breast reduction surgery.  This is one of the most patient pleasing operations we perform.
“Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts.
Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.I would suggest that you undergo the operation once you have completely stopped lactating and have reached your long-term stable weight if possible. The majority of patients who undergo breast reduction surgery ( unless they have had free nipple grafting) will be able to breast-feed. Discuss this goal with your plastic surgeon; utilizing certain breast reduction techniques the chances of breast-feeding can be potentially increased.
 
 When the time is right, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.
Then, it will be important that you communicate your goals clearly with your plastic surgeon and make sure that you have realistic expectations prior to proceeding with any type of surgery. In regards to breast size desired, also communicate carefully. In my practice the use of goal pictures are helpful in this regard; a discussion of cup size can be confusing and imprecise.   Therefore, I would not suggest that you communicate your goals and/or base your satisfaction with the outcome of surgery on achieving a specific cup size.  I also find that the use of pictures is more helpful than the words “natural” or "proportionate” etc., which can mean different things to different people.
Many of my patients choose to have enough breast tissue removed to help alleviate symptoms while retaining enough breast tissue to remain proportionate to the remainder of  bare torso.
I hope this helps.