As you are a 36DD, your large size may require a more traditional breast reduction procedure. The so-called "limited incision" or “short scar” techniques are most often used when the breasts are smaller. Of course, a recommendation could only be made on the basis of a personal consultation and exam by a qualified plastic surgeon. Many insurance companies view this surgery as reconstructive and may actually pay for the procedure. Surgery is done as an out-patient and post-surgical discomfort can be controlled with medication.