I want to go from 30E to full C cup. Am I being unrealistic? (Photos)

Thank you for your pictures and questions. While I do not think your goals are unrealistic, I think some of the language you are using shows a poor understanding of the process. When you say that you want to remove all your natural breast tissue and replace it with an implant, that is akin to a breast reconstruction after a mastectomy for cancer and is not going to produce the results you want nor is it an appropriate approach to your goals. You need to see a local board certified plastic surgeon to discuss your goals and how to achieve them. I can give you an idea of how I would approach this problem and it may be different from others. I would suggest a two stage approach. The first stage would be to convert you to a smaller breasted patient with a different breast shape and position. This would be achieved through essentially a breast reduction/lift with an anchor type scar and removal of breast tissue and skin. I would image that you would end up as a B/C cup (like some of the starting goal pictures you shared). Then at a second stage 3-6 months later, I would suggest placement of an implant just like a normal breast augmentation to achieve your ultimate size goals. While many surgeons may tell you that you can do everything at once, and technically you could, I think a one stage operation will have a much higher risk of complications and poor scarring and also may not produce the ultimate results you want. Hope this helps!

Dear Nataliepoehler,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery