34B to 34D, realistic? (Photo)

Question

I want to go from 34b to 34d cup size. I don't want it to look like implants sticking out, I want them to look as natural as possible. What's better, tear drop implants or gummy?

Vaishali B. Doolabh, MD, FACS · Answer

Hi tweety90210. Your pictures suggest that you would benefit from a round, smooth, extra high profile, highly cohesive gel/gummy implant placed under your pectoralis major muscle.  During your consultation, measurements will be taken to help estimate the volume, but it likely should be 300-400cc.  The round shape maximizes cleavage and removes worry about rotation, extra high profile will help lift/support your right breast (looks slightly looser than left) with the narrowest diameter (limits "side boob"). The gummy is the highest quality gel implant that provides good tissue support and placing under the muscle will keep the implant from "sticking out".  Good luck with your consultation!-Dr. Doolabh

Caner Kacmaz, MD · Answer

Hi there, thank you for your question. Yes, it is possible but, there is a difference between your breasts. That's why; different implants should be chosen for both sides and, an uplift is necessary for your right areola.

Ali Riza Öreroglu, MD · Answer

Depending on the individual anatomy and desired results, estimations and measurements should be made for each patient individually after a detailed mutual conversation. The elements that form up the breast shape and size and the overall frame can be different in each person. Different sized implants on each side can help improve the asymmetry. It will be best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.

Casey Anderson, MD, FACS · Answer

With your small frame, going from a B to a D will look augmented. Tear drop implants can give a slightly more natural look as they provide less fullness at the upper portion of the breast. (As an aside, tear drop implants are gummy - gummy refers to the current generation of silicone implants.) As always, be sure to research the surgeon doing your procedure to increase the chances of a favorable result.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. A board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy.

William Andrade, MD · Answer

Hello, often it is possible to go up two cup sizes with breast augmentation but each bra company has a different sizing system, so ultimately your final size will depend a lot on where you buy your bra.  Tear drop versus round gummy implants both have unique advantages and disadvantages so one type of implant is not better in all situations.   Your plastic surgeon will listen to your goals and expectations then advise which type of implants will best meet your needs, as well as their unique risks.

Brian K. Reedy, MD · Answer

Thanks for your question! I think that you will get a lovely result with breast augmentation. I would recommend a moderate profile, silicone gel implant. If you started looking at higher volumes, I might switch you to a full profile. Be sure to consult in person with a board-certified plastic surgeon. Best of luck!

Christopher V. Pelletiere, MD · Answer

Most patients who undergo a breast augmentation in the US go with a smooth, round silicone gel implant as opposed to an anatomical shaped device.  The right smooth round implant for your frame can look natural and form a tear drop shake on its own while avoiding the negatives of an anatomical device (textured, firmer).  The best thing to do is to have a few consultations with board certified plastic surgeons and see what they recommend.  I hope this helps.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements. My patients tell me that this process is very helpful in determining what is right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  In most cases a round, smooth, gummy implant will provide you the best result, and a more natural one when placed beneath your muscle.  Hope this helps.

Farhad Rafizadeh, MD · Answer

You have a good amount of your own breast tissue that would cover the implants. Therefore any type of implant can give you a good result provided the pocket dissection is done very precisely with a no touch technique to avoid capsular contraction and implant displacement. The implant profile will be determined once we decide on the size and it will depend on measurement of your breasts including the base diameter. We would want to avoid a textured teardrop implant because of concerns for ALCL that is associated with textured devices. A round smooth gel implant would be most appropriate. You can have an ultra cohesive (gummy bear) implant if you so desire. These implants are typically firmer to touch. In general I prefer a softer implant. A virtual or in person consultation could validate these recommendations.

34B to 34D, realistic? (Photo)

Answers (20)

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