Is it possible to go from 40D to 36C with just a breast lift, or do I need to combine it with a reduction? (Photo)

Thanks for your picture. To get the most optimal result I think that you need a breast reduction. This will take out enough tissue to reduce the weight of the breasts, increase shape and help with the lift of your breasts. Good luck

A breast lift with small reduction would be a reasonable option
just based upon your picture, but an exam will be necessary to make a
determination. Find an expert in breast surgery in your
area who has great reviews and great before and after photos.Kenneth Hughes, MDLos Angeles, CA

With resupport of the breast by mastopexy, onlly a small amount of breast tissue may need to be removed, but removed nonetheless.

All reductions should lift your breasts - you do not need to pay extra for the two procedures.All lifts do not reduce the breasts.Anytime you change cup size you need to change breast volume - so a reduction is in order for you.If you would like more information on this, please read my book "Cosmetic Breast Surgery - a complete guide from A to double D".

Yopu could have an assymetrical breastlift/reduction to achive the size you wnat.This is often done at the same time. as an outpatient.