Can I go from 34B to 34AA through breast reduction? (photos)

I am curious why you measure at a 34B but only fit into a 34D. Your picture certainly does not look like a D size. A 34AA is essentially nothing, but this may be your desired goal. You may be a good candidate for liposuction to reduce the size but only if you have a higher percentage of fat cells in your breasts. Otherwise to make you a AA would almost be a mastectomy. You should schedule a consultation with a surgeon certified by the American Board of Plastic Surgery to discuss your goals and options. I agree that you should find a picture of your desired goal as this will greatly assist the communication between you and your surgeon.

Before undergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon. Most patients wish to achieve enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso.
With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small) very helpful. I have found that the use of words such as “natural” or AA cup” means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. Bottom line: spend more time with your carefully chosen plastic surgeon. Communicate your goals carefully. Consider the pros/cons (and learn about potential risk/complications) associated with breast reduction surgery. Only then will you be able to make an informed decision whether or not it is worth proceeding. Best wishes.