Breast Implants for Women with Naturally Large Breasts?

I have naturally large breasts (36C) but I am considering to get Breast Augmentation surgery. I like the look of Breast implants and especially appreciate how perky the breasts are ( I would aim for a large D or DD).

Also, I have heard that if a woman has stretch marks on her breasts and gets a larger implant, the stretch marks will be less visible. I would like some feedback on my remarks.

Also, how would the surgery be if I already have large breasts (for example, do you remove some tissue or just place the Breast Implant etc.)?

Doctor Answers 18

Large Breasts and larger implants

It really depends on what we are dealing with. As far as stretch marks go, no they do not look better, and infact if you have larger implants placed to make you a D or DD then there is a likelihood the stretch marks will look worse over time and more prominent.

If you dont need a lift, the procedure involves placing saline or silicone implants to achieve the size you need, there is no removal of breast tissue. Just remember, breasts dont remain perky forever specially with large implants.

Orange County Plastic Surgeon
5.0 out of 5 stars 77 reviews

Probably do not need breast lift if you are only 22


If you are only 22, you probably do not need a breast lift, unless you have had children already. So, your already ample C cup breasts will likely become more ample D or DD cup breasts with an augmentation. Although they might flatten somewhat, I would not count on stretch marks improving with the enlargement. Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 47 reviews

Implamts in large breasted women

The problem with large implants is that they will age independent of the breasts which means that if placed under the muscle, the implants will remain high and the breasts will "fall off" of them creating the "Snoopy Deformity". If implants are placed over the muscle in a large breast, the appearance of stretch marks may temporarily improve by being stretched bu the breast and implant will sag together due to the combined weight and lack of support. in regards to your other question, we sometimes perform a lift/reduction and implants in large ptotic (sagging) breasts

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Breast implants for larger breasts

Perkiness may be achieved by choosing the right implant (something with more projection and a firmer texture) however please note that implants would also accelerate the rate at which your breasts sag, especially since your breasts are already large. In addition, if you have any sagging at the moment, breast implants alone may not be sufficient in achieving a perkier contour. A breast lift may be required. 

It is true that implants can soften the appearance of stretch marks to a  certain extent, however they will still be visible and are not considered an effective way to hide them. In fact, larger implants tend to cause stretch marks, depending on your skin quality.

Breast augmentation for larger breasts would not involve removing any tissue. It is performed in the same manner, with special attention on implant placement. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

If you want bigger breasts then choose an implant

The stretch marks will not change realistically.  The breast shape may improve, and you will get more volume and can achieve more perkiness.  If you want larger breasts, then implants are a good choice.  Try sizers on to see if the increase in volume is for you.  Tissue is not removed.  The surgery is the same as if you had  smaller breasts. 

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
4.9 out of 5 stars 135 reviews

Breast Implants for Large Breasts

         It’s always difficult making decisions about breast size without performing a physical examination or seeing pre-operative pictures. In addition, the patients underlying anatomy and personal preference for size and shape must be considered as well.


         Breast augmentation in women who already have large breasts, should be approached with caution for a variety of reasons. When women have large breasts, it’s not unusual for them to also have breast sag. This is usually their primary problem and frequently requires a breast lift for correction. When the breasts are lifted into proper position, they often times look bigger then they did when they were saggy. Under these circumstances, breast augmentation may not be necessary to obtain a good result.


         In other cases, placement of breast implants might actually accelerate breast sag by stretching the overlying breast tissue.


         Women who have large breasts who are considering breast augmentation should proceed cautiously. In the short term, this procedure might meet your aesthetic goals, but over the course of time, the results might be less than optimal. It’s important to consult a board certified plastic surgeon who will evaluate your unique anatomic findings and aesthetic goals to make an appropriate decision. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Breast augmentation

Without an exam it is hard to say what you would need.  But, if you have a fair amount of tissue, then you will have more soft tissue coverage than others with smalle breasts.  As for the stretch marks they may get worse, better, or stay the same.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Implants for naturally large breasts

Great questions but without photos can not guess on your appearance. Please submit photos or see 3 boarded plastic surgeons in your area. You may need a lift also. Regards.

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Breast Augmentation VS Breast Lift in naturally LARGE breasted Women

Without a visual clue as to your appearance any real assessment of your appearance is impossible and all answers should be regarded as general in nature.

"I like the look of Breast implants" - A well-chosen implant and executed breast augmentation does NOT look "done". As a matter of fact, few can tell if such a person had a breast augmentation. You appear to like the artificial, round encapsulated breast look which most plastic surgeons prefer to avoid. Such results are not hard to produce - all one has to do is to do several things we should NOT be doing.

"I...appreciate how perky the breasts are ( I would aim for a large D or DD)". - A perky breast is a result of youth, continued breast support and perfect coordination between the location of the nipple complex, breast surface area and breast fill. Attempting to reach "perkiness" nirvana by ever increasing breast implant volumes always fails. Skin being stretchable, will always give under the weight and all such breasts will rapidly sag,

"I have heard that if a woman has stretch marks on her breasts and gets a larger implant, the stretch marks will be less visible" - Totally false. Stretch marks are more aptly called stretch cracks. They are full thickness, permanent cracks in the skin caused by rapid stretching which fill with scar tissue. As the skin is FURTHER stretched with ever larger implants the stretch marks do not become narrower - they become wider and more prominent. Larger implants will NOT improve stretch marks and may make them much worse.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Breast implants for women with naturally large breasts

Many of the questions you ask are dependent on your breast anatomy. Breast implants will allow you to increse your cup size and in many instances, reestablish upper pole fullness to you breasts. Due to the fact you are a 36C looking to go to a D or DD cup, you may require a rather large implant to achieve your goal. The problem with this is it may end up increasing your stretch marks. Depending on how much breast sagging (ptosis) you have, you may also require a lift to give you an optimal result.

I would recommend scheduling a consultation with a board certified plastic surgeon. He/ she can evaluate you and discuss what options would be best to help you achieve your goals.

Good luck.

David A. Robinson, MD
Munster Plastic Surgeon
4.7 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.