Is possible get a 34E size for me? (Photo)

The best cosmetic result in
any particular breast augmentation patient depends on a variety of factors,
including: your individual anatomy, desired outcome, realistic expectations, a
thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s or a specific implant type or shape.
The thickness of your tissue, breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative
visit will help you and your surgeon choose the optimal implant.

Keep in mind that following
the advice from a surgeon on this or any other website who proposes to tell you
what to do without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros and
cons of each operative procedure would not be in your best interest. I would
suggest you find a plastic surgeon certified by the American Board of Plastic
Surgery and ideally a member of the American Society for Aesthetic Plastic
Surgery (ASAPS) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS)  that you trust and are comfortable with. You
should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La
Jolla, California

 

There are underlying anatomic issues that limit the maximal size implant that can be accommodated during a breast augmentation procedure. Judging by your posted photo I would doubt that a 34 E could be achieved during a single operation. If this truly is your goal, this could be accomplished by staging the procedure, This would involve an initial breast augmentation then later placing  larger implants  during a second operation. I generally suggest waiting at least 6 to 12 months between procedures to allow the tissues to adjust adequately. Be sure to have a thorough candid discussion with a board certified plastic surgeon before considering such a dramatic increase in breast volume. Larger does not necessarily mean more attractive. Other issues such as body type and proportion play an important role in aesthetics. Also, there are potential negative ramifications to very large breasts such as risks of  chronic back/neck/shoulder pain and the likelihood of accelerated sagging or ptosis due to the heavy breast weight.

An E cup size may be too large for your frame. The larger your breast implant volume the more complications you are likely to have in the future. Discuss your goals with an experienced plastic surgeon and key measurements will be taken during your exam to evaluate your breast tissue. Then you will better know what bra cup size is realistic.Best wishes,Dr.Bruno