I Really Want to Achieve a Full 32D - How Many CCs Do I Need?

It is very important to communicate your size goals with your surgeon.  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 cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.

Given your height and body type (slim) and your desire to go larger, I would agree that you should consider a high or moderately high profile implant.  However, you should think seriously about whether it is worth it to undergo a second surgery for a 55 cc increase in implant size.  It is likely that this won't get you to a D cup.  Of course, a determination of how large of an implant you could accommodate would require an examination.  Best of luck.

There is no specific cc or volume that will get you to a given cup size. 1- the final result is dependent on your starting point (and everyone has a different starting size or look), 2- One can not have a definite cup size after augmentation because each brassiere maker is different, that is, a "d" cup with one maker may be different from another.

More important, be careful with what you put in, you have to be aware of the stress the implant will place on your breast/soft tissues and how it may change through time. Having said that, I wish you all the best. J. Vicente Poblete, MD. Avon, Ohio