Thank you for your question. Based on your description you may be an excellent candidate for breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform. I would suggest that you do your due diligence and select your plastic surgeon carefully. Ask to see lots of examples of their work helping patients similar to yourself. It will be very important for you to communicate your goals, concerns, and questions with your plastic surgeon. I would suggest that you write these down before your preoperative appointment. In my practice, I ask patients to collect "goal pictures” of breasts which they like, breasts that are too big, and breasts that are too small as well. I find that the use of pictures is more helpful than the words “natural” or "proportionate” etc., which can mean different things to different people. Discussing your goals in terms of cup size may be a source of miscommunication, since cup sizes will vary from one bra manufacturer to another. Many of my patients choose to have enough breast tissue removed to help alleviate symptoms while retaining enough breast tissue to remain proportionate to the remainder of bare torso. Again, preoperative communication will be critical. I hope this, and the attached link, helps.