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Is my 36D Size Breast Ok? (photo)

hey! I am 29 yrs old with 36D breast.5' 3'' tall .Do my breasts need to lift or my nipple upper.I want full balanced breasts.

Doctor Answers 17

36D Breasts

Thank you for your question.  A breast lift, or mastopexy, will lift the breast and nipple to a more youthful position.  If you are happy with the size of your breasts, then a lift alone will likely give you the look your desire.  A breast lift with augmentation can be performed for those women looking for fuller/larger breasts.  On the other hand, tissue can be removed at the time of a breast lift to reduce the size of the breast for those women who would like a reduction in size (breast reduction).  Consult with a board certified plastic surgeon to discuss your goals and learn which surgical procedure is appropriate to accomplish those goals.  

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36D size breasts

Thanks for your question; In my opinion a breast reduction and lift will give a perkier look to your breasts. Look for a certified PS to do your procedure.


Kemil Issa, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 3 reviews

Do I need a breaset lift?

I would recommend you see a board-certified plastic surgeon for a consultation.  Patients who have low set nipples and/or stretched skin often benefit from a breast lift to reposition the nipples and create an improved breast shape.   Upper breast volume can be enhanced with a breast implant or fat grafting.   You need to have a consultation to discuss your desired outcome and understand the pros and cons to different surgical treatments.

Best wishes,

Dr. Michelle Spring

Breast Lift Will Give You a Nice Outcome

Breast lift surgery will use the volume that you already have and reposition it higher, perkier, and tighter on your chest.  However, if you already like the shape of your breasts, then you should not do anything!

Lift needed?

Many patients with appearances similar to yours come to me seeking a breast lift.  A lift will make your breasts perkier, it will add upper breast fullness and it will reduce the size of the areolas.

David Stoker, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 25 reviews

Correcting Breast Sag

         Your pictures suggest significant breast sag which would benefit from a breast lift utilizing an anchor incision.


         Each patient has unique aesthetic goals and specific anatomic findings that must be considered when making decisions about this type of surgery. For instance, in some cases, decreasing breast size may be a consideration and breast reduction should be part of the procedure. In other cases, patients may want larger breasts. Under these circumstances it may be appropriate to add a breast implant to increase breast volume.


         Based on your concerns, consultation with a board certified plastic surgeon is appropriate. This surgeon will help you determine which option is best for you. 

Breast Lift by repositioning breast tissue

Auto augmentation mastopexy is a surgery that repositions your own breast tissue into a more pleasing and comfortable position.  Auto-augmentation mastopexy makes the breasts only as much bigger as there is lower pole breast tissue available to move into the upper pole.  The lower pole tissue that is moved up is fixed in place with sutures to the pectoral fascia, so it is not possible for the relocated tissue to ‘drop’.  

Breast implants add volume (and weight) to the breasts while auto-augmentation really does not.  Additionally, implants augment the entire breast, while auto-augmentation augments the upper pole only.  So for many reasons auto-augmentation results tend to be less prone to recurrence of droopiness.

Other advantages of auto-augmentation mastopexy:

                #1 - Zero need for implant surveillance and possible replacement


Zero risk of capsular contracture

                Zero risk of implant migration / malposition

                Zero risk of visible fold/ripples

                Zero risk of implant infection

Auto-augmentation mastopexy is absolutely the procedure of choice for a patient who wants a breast lift, who will not have adequate upper pole fullness without an implant or auto-augmentation, and who is happy with the amount of breast issue that she is starting with.  If a patient wants a lift AND fuller breasts (i.e. increase in true cup size), then an implant is required.

It is important to understand that there is no plastic surgery procedure for which the results do not change over time.  Skin is elastic and stretchy and so is breast tissue, and that ‘stretchiness’  increases with age.  The elasticity of skin and soft tissue is genetically determined, and it therefore varies widely from patient to patient.  So it is impossible to predict for any one patient how long it will be, if ever, before they feel they need a secondary mastopexy – which in most cases is just a touch-up procedure and not nearly as extensive as the original mastopexy.  Certainly if a patient has breast stretchmarks and thin breast skin from multiple pregnancies, then that patient is more likely to need a secondary mastopexy at an earlier date than a patient with thicker skin and better skin and breast tissue tone. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 50 reviews

36D breast opinion

Your breasts appear to be a good size for you, but you really need a lift to make the breast shape and the nipples perkier.

Frederick G. Weniger, MD, FACS
Hilton Head Island Plastic Surgeon
5.0 out of 5 stars 18 reviews

Do I need a breast lift?

You have full D cup breasts, but they are quite overhanging and the nipples are at the very bottom of your breasts and down-pointing.  You would certainly benefit from a breast lift to shift the nipples to a higher position, reduce the areolar size, as well as to reduce the overhang and reshape the breasts.

A lift could give you full, balanced breasts.

From what you’re describing as your goal, I think a breast lift is likely to give you the look you’re hoping for. During a lift, your existing breast tissue is reshaped and moved up higher on your chest, and any extra skin is removed. Your nipples and areola will be recentered, and can be made smaller at the same time if you wish. The end result should be a high, firm profile looks perkier and more youthful. If you are concerned about any volume loss, you can also include breast implants at the same time for an additional boost in cup size.

David N. Sayah, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.