5 ft 4, 110 lbs, 30H. What size is right for me?

From your description you will benefit greatly from a breast reduction! The appropriate size will depend on your goals for surgery. A C or D cup should look appropriate for you. The anchor pattern is standard for breast reductions. Be sure to see a board certified plastic surgeon for your procedure. I've included a video I hope you find helpful.

There is a fairly wide variability of what can fit your frame. To a large extent, it depends on where you would like to end up. Surgeons can't guarantee a cup size as bra sizing is so variable but you can still shoot for a particular look. C/D sounds appropriate to me.

Hi,
Thank you for the question.
Based on what you are describing, it does sound that you have large/heavy breasts causing physical symptoms, and breast reduction may be an option for you. However, it is difficult to tell without seeing the photos and/or in person consultation.
During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller. It is easiest to think of breast reduction as including the breast lift.
Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms. In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management.
It is difficult to predict the exact cup size, but I typically tell my patients that the goal should be for the breasts to be smaller and lifted, while proportionate with the rest of the body.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon