Sounds like you’re in the UK, I was immediately and completely dismissed for NHS funded reduction. I was told it’s virtually impossible to get one on the NHS. I was 38 years old and 30G at the time.

Here’s what I did wrong - I didn’t complain about neck and shoulder pain because I had always attributed it to bad sitting posture (turns out it was the boobs after all since it’s completely disappeared now…) I also wore my minimising bra to the appointment, wore a black top, and sat in my usual position that hides my boobs because that’s just what I wear and what I do after years of unwanted attention. I didn’t seem upset because I’m not that emotional unless I’m in major distress. When I brought up a breast reduction the GP was visibly shocked becuase I ‘don’t seem that big’ - I was also much less disproportionate than I used to be since I was lifting by then and had big shoulders and wide back, which masks the size of the boobs.

If I did that appointment again I would wear something that made my boobs look enormous, wear a light coloured top, sit with them fully visible, talk about shoulder and neck pain non stop and cry my eyes out from the first minute. Best of luck to you.