Are my 34D breasts suitable for reduction? I would like them to be a small C or big B. (photos)

You need a formal evaluation by a licensed plastic surgeon and expert in breast reductions to determine what is best for you and your goals.
Breast reduction is one of my favorite surgeries as it allows me to dramatically improve a woman’s breast appearance as well as alleviate many physical symptoms of large breasts, such as back, neck and shoulder pain, bra strap grooving, and rashes under the breasts. When I perform breast reduction surgery, I generally use a superomedial pedicle to provide blood supply to the nipple while maintaining fullness in the upper and inner breast. Excess lower and outer breast tissue are removed. Breasts are often asymmetrical, so I remove more tissue from the larger breast. The final scar pattern is a circle around the areola, down the breast, and possibly under the breast, depending on the degree of skin excess.
For me, breast reduction is not a one-size-fits-all surgery. The size and shape of the breasts are customized to each patient depending on her goals and desires. Some women want a significant amount of tissue removed while others prefer to have a more limited reduction. Regardless of the amount of tissue removal, I perform the maximum safe amount of lifting and tightening for each patient.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Reductions. - Dr. Cohen

Thanks for your question. Based on your photos you would be an excellent candidate for a breast uplift procedure (mastopexy), and if you also wanted to reduce the overall volume of your breasts this could be done as part of a breast reduction. You could also consider an uplift procedure whilst keeping the majority of your breast volume to enable your breasts to sit higher and feel fuller in the upper pole - this is called auto-augmentation mastopexy. Consult with a specialist plastic surgeon with a practice focussed on aesthetic breast surgery to understand your options in more detail.

Hello and thank you for your question.
You may be a candidate for a breast reduction or breast lift. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

BRs which are medically necessary (i.e. you suffer back, shoulder, head, and neck pain with DOCUMENTED medical attention over a period of a YEAR) are typical reasons for a BR.  If I understand your "private, not nhs" annotation, you plan to pay for the surgery yourself rather than seek a predetermination of benefits from your medical insurance provider.
Recommend that you schedule a consultation with a board certified PS who is an expert in BRs to evaluate your medical condition and history, discuss the pros and cons of this surgery as it applies to you, and help you in making a decision regarding reducing the breasts from a D to a small C or big B which appears to be a realistic goal.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

The technique I recommend is The Bellesoma Method.  This will 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.

Patients will typically have documented evidence of neck/back and shoulder pain as well as rashes and bra strap grooving attributable to the increased breast weight. They will often demonstrate that these symptoms have been resistant to more conservative measures like therapy, weight loss and pharmacologic intervention.
In addition to establishing a case for medical necessity, there are also requirements for resection weight. This may be a standard "500 gm per side" stipulation or a more variable standard based upon body surface area/Schnur scale. It is important to realize that these weight requirements can occasionally exceed your goals for size reduction. Insurance coverage is contingent on these requirements being met, thus cosmetic concerns become secondary(i.e. cup size goals).Based on your photos and narrative, you would seem to be a reasonable candidate. The cup size however, will be contingent on the insurance requirements (assuming this is being performed under those auspices).
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Top 100
RealSelf Hall of Fame

Thanks for your question. Yes, you are a good candidate for breast reduction. Your breasts are not too big and the result will bring you a better quality of life with having less weight to carry around. After surgery it might not be necessary to wear a bra with support and you might be able to go without a bra at times as well. Good luck

Thank you for the question. Based on your description you may be an excellent candidate for breast reduction surgery.  In my practice, I individualize the “timing” of surgery based on a lot of information that is transmitted during the consultation process.
“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.
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.  Additional surgery may be necessary in the short or longer term for a multitude of reasons.
 
 It will be important that you communicate your goals clearly with your plastic surgeon and make sure that you have realistic expectations prior to proceeding with any type of surgery. In regards to breast size desired, also communicate carefully. In my practice the use of goal pictures are helpful in this regard; a discussion of cup size can be confusing and imprecise.   Therefore, I would not suggest that you communicate your goals and/or base your satisfaction with the outcome of surgery on achieving a specific cup size.  I also find that the use of pictures is more helpful than the words “natural” or "proportionate” or "big B, small C cup" etc., which can mean different things to different people.
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 their torso.
I hope this helps.

Hello Marta,You would be a good candidate for a breast reduction.  As part of the reduction, your breasts would also be lifted and I think your goals are realistic.Look for a surgeon who is or has been a Consultant in the NHS to ensure they are a fully trained plastic surgeon.Good luck.

You are a suitable candidate for a modest reduction to get you to the size you desire. The reduction technique will also give you a lift, correcting the droop and improving your shape. All the best.