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

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

Thank you for the question and picture. I would suggest that you seek consultation with board-certified plastic surgeons who can demonstrate  significant experience achieving the types of outcomes you would be pleased with. Then, communicate your goals carefully. This, in my opinion is best done in front of a full-length mirror and with the help of goal pictures.  Communicating goals carefully with your plastic surgeon will allow you both to come up with the best plan to achieve your goals.  Do not base your communication on achieving a specific cup size, as this form of communication can be a source of confusion. Breast lifting and/or a small breast reduction may be indicated, based on your description of current situation and goals. You may also find the attached link, dedicated to breast lifting concerns, helpful to you as you learn more. Best wishes.