34B to a 34D...what's the Right Amount of Cc's? (photo)

This really depends on your pre-surgery measurements, including height, weight, breast width, breast height and the distance that exists between the nipple and breast fold, alongside desired cup size. Considering these helps achieve a proportional body enhancement that meets your needs without resulting in an unnatural appearance. 

At size 34 each 100 cc’s of implant corresponds to 1 cup size change.  200 cc implants would take you from a B to a D.  I doubt you would even be able to accommodate 475 or 525 cc implants retro-pectoral.  They would extrude inferiorly and laterally requiring revision.  Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. 

 

Best Wishes,

 

Gary Horndeski, M.D.

Thank you for the question.
 As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online.
The best online advice I can give to ladies who are considering breast augmentation surgery is:



1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.



2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  or “C or D  cup” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.



3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.


I hope this (and the attached link) help.