I'm a size 36C. Can I get it to a 36A?

In my experience it's very difficult to reduce breasts to A cup, since there's no standard definition of A cups anyway.  It sounds like you would like a very drastic breast reduction (in other words, as much reduction as possible).  Surgeons cannot guarantee cup sizes, but they will listen to your goals and do their best to deliver.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. 

Thank you for your question,   The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Usually patients do not go down in size very much with this technique.  Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Thank you for your question.  It is difficult to determine with no photos.  I would recommend an in person consultation to be evaluated to give precise recommendations and discuss your goals.