I'm 58. My bra size is 44DDD. I have had back surgery , neck pain, rashes under my breast, and marks on my shoulders

Based on your description it sounds like you may be a good candidate for breast reduction surgery. If the size of your breasts is causing back and neck pain, as well as painful bra strap marks and skin irritation, undergoing a breast reduction can have a very positive influence on your quality of life. To truly determine if you are a good candidate and in good health to undergo breast reduction surgery, you need to consult in-person with a board-certified plastic surgeon.

I am sorry to hear about the problems you are experiencing. Based on your description, you may be a good candidate for breast reduction surgery at some point; best to achieve your long-term stable weight prior to proceeding. “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. Sometimes breast reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.
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 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.

It does sound like you are a candidate for a breast reduction. I recommend an evaluation by a board certified plastic surgeon for an examination. You want to make sure that if you have other medical problems, these will not be an issue for general anesthesia so I also recommend seeing your primary doctor to make sure you are fit for surgery. #PlasticSurgery #BreastReduction #candidateforsurgery