500 Cc's Implants Already a 36dd is 500 Too Big?

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 “upper pole fullness” 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.

It sounds like you have enough tissue already, but it is in the wrong place!  I have found this to be the typical problem with the various types of "anchor" lifts.  All those scars and everything is as the bottom (and often the sides) with no upper fullness.  Often looks like an exaggerated tear drop!  The term "perky" has to be deleted from your vocabulary.  This is why I gave up on "anchor" lifts in the early 90's, even trying an earlier technique from S. America in the late 80's.  Internal shaping and suspension with the vertical technique has allowed this change because the technique doesn't rely on a segment of tissue bringing in enough circulation to keep the nipple alive. I have re-done many women over the years that had "anchors" that were fine with their size but not the shape, as well as those that didn't like the size, either.  I have found it safe.....and effective....to do the vertical technique with reshaping the tissue to get the upper fullness.  No nipples have been lost in this reshaping.  It has been interesting to notice that these re-do's usually do not require moving the nipple further up.  But this reshaping of the tissues can make you look like you had a lift, even though the nipple hasn't moved!If you don't like your present size at DD when you are supported by a bra, then an implant may be necessary.....besides all the other techniques mentioned.  Just putting an implant in will just give you a bigger version of what you have.