Can I safely go 30DD-DDD to a 30B/small 30D with a breast reduction with stretch marks and areola looking accordingly? (photos)

Hi there,You're a good reduction candidate. Appropriate weight, large and low breasts and you're symptomatic of the weight.You can be the size you prefer, and have the asymmetry corrected at the same time. Smaller, lifted and fairly even breasts is a reasonable expectation for you to have. A smaller areola is easy to make at the same time. Your symptoms from the weight of the breasts will disappear.Breast reduction is generally not a difficult operation to get through and recover from.The long term trade offs you make are:1. You have some scars which are permanent,  - regardeless of the type of reduction recommended to you.2. You can lose nipple sensation3. Your probability of breast feeding in the future is much reduced, although not to zero.4. In future pregnancies, your breasts will change and may enlarge again, or even post pregnancy lose volume.In general, women are really pleased with the improved life quality that breast reduction enables. All the very best to you.Howard WebsterPlastic Surgeon

Your photos are very dark on my screen so details are hard to see but in my experience it's possible to achieve what you have outlined by breast reduction surgery.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

Thank you for the question and pictures.  Based on your description of symptoms   and pictures, you may be an excellent candidate for breast reduction surgery.  
“Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts.
Other than the presence of symptoms, the “ideal” patient for breast reduction surgery is one who is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.
Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.
Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well.. Poor scarring, for example may be associated with the procedure.
When the time is right, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.  I hope this, and the attached link, helps.