Current wide set 34DD, wanting advice on implants to improve shape

Dear Neat485972,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Photos would have been very helpful. However, you sound like you need a lift. Adding large implants will not address the sagging problem. The DD size never looks like A cups! Go for consultation.

It's difficult to provide meaningful advice without photos or an examination. Wide set breasts are determined by your natural anatomy. There are tricks used to give the illusion of more cleavage but your bone structure cannot be changed. I encourage you to begin by visiting a few board certified plastic surgeons near you for consultations. Here you can listen to expert opinions and decide what is best for you.