5'6", 115lbs, what are my options to reduce breasts from a C to an A cup?

Only on the basis of in person evaluation and/or series of good photos, one could give you meaningful solution. We do most of breast reduction using liposuction, which significantly preserves blood and nerve supply; excision of the skin and, if needed, additional breast tissue, is performed as well. Very likely that in the hands of an experienced, board certified plastic surgeon, you could achieve desired result. In person consultation is recommended. Good luck.

Dear gaywh0re,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery