Hi, all. May I add GP perspective: totally unscientific straw poll amongst (female) GP colleagues revealed a lot of sympathy for those burdened with overgenerous assets, the trouble they can cause and women seeking to do something about it.
Piffle, certainly a good idea to go in there with a reasonable BMI, otherwise GP will be forced to tell you to lose wt before referral. Referral guidelines vary from health board to health board; I am only familiar with Scottish/Lanarshire arrangements.
Be realistic what a breast reduction can do: bring your shape into proportion, stop horrible rash (Canesten HC v good unguent by the way), make you feel better about yourself, allow you to by "normal" tops like anybody else. It is, oddly, less likely to improve backpain, there are studies out about this, but preg brain and not being at work computer does not allow me to quote anything, sorry, .
I my experience is it only honest to also say how your boobs affect you psychologically/emotionally but do not overdo it: if the psychologist everybody up here has to see before they have procedures considered to be "cosmetic" under the NHS(breast reduction/enlargement/ tummy tuck mainly)gets the impression that the person has unrealistic ideas about what surgery can do for them ( DH/DP will be nicer/come back/want more sex/want less sex/job will be better/boss will be nicer/ life in general will be better if only I have this surgery etc etc), they will be declined.
From my professional experience, all ladies who have posted on this board today, seem to have a good case, but as I said, rules and protocols vary considerable depending on where you are - post code lottery.
Also be aware that reduction surgery is BIG surgery, much more involved that breast augmentation: mucho bruising, risks of infection/bleeding, risks to future BFing (although you have obviously considered this), may take several months/a year to feel "normal", if nipple has to be resited risk of loss of sensation etc etc. Any surgeon worth their salt will/must sound a bit scary when they counsel you; some will have before/after photos to show, which are v useful.
Good luck to you all, I may consider this at some point for myself but currently still need 38 FF boobies for DS3.. .
Useful web sites (I found some! Treat commercial advertisers with caution - stating the obvious):
www.nhsdirect.nhs.uk/articles/article.aspx?articleId=286
www.baaps.org .uk/