Is it possible to get a breast reduction from a D down to an small A/B size? (photo)

 I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

You are an excellent candidate for The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.Best Wishes,Gary Horndeski, .M.D.

Thank you for sharing your question and your photographs. 
When consulting patients regarding breast reduction, I emphasize that I operate with the goal of achieving an aesthetically pleasing result without compromising blood flow to the nipple-areolar complex, skin, and breast soft tissue, as opposed to aiming for a non-standardized cup size. 
For patients who wish to have a more drastic reduction in their breast volume, it’s possible to perform free-nipple grafting (taking the nipple-areolar complex off at the beginning of the reduction and replacing in position at the end of the procedure like a skin graft), as a way to help assure and promote nipple-areolar complex survival. Downsides to this technique involve sensation changes and inability to breast feed. 
I recommend you have a consultation with a Plastic Surgeon and ask him or her about what reduction volume is safe and appropriate for you based on your history and physical exam. 
I hope this is helpful for you and others, best of luck to you!
Peter A. Felice, MD