At size 36 each 200 cc’s of implant corresponds to 1 cup size change. To go from a DD to a C would require 400 cc removal. If you remove that much volume, it is likely that your breasts will droop. I recommend a new technique called Implant Exchange with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. At the same time, your implants can be exchanged for smaller ones. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. Best Wishes,Gary Horndeski, M.D.