44 DD cup after HRT. Is breast reduction an option? (Photos)

I am a MTF trans woman and have been on HRT for almost 4 years now. Over the course of that time I have developed way more than expected or I think wanted. I have grown into a 44 DD cup size and over the years I have noticed working out such as riding my bike and doing normal activities, I get winded way more often. My posture has significantly gotten worse over this time. I have should pain around the straps even with a properly fitted bra from fitting. I have started suffering Migraines when I used to never have issues with headaches prior to HRT. I may seem weird to be wanting to ask this being as this was what I wanted. Well it was but I didn't want them this big. I already have back issues prior and this just makes those worse. I even struggle to sleep on my back as well, which has made recent issues with hernias I am getting repaired soon affecting my sleep cause i have to sleep on my back and the weight of them just makes it difficult to get restful sleep. Could reduction surgery be a good option? I am looking for the future as I try other ways to reduce the discomfort before dedicating to surgery. What would be an honest opinion on this?