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

Question

5'8" 150lbs. Currently a 34DD perky but very wide set breasts on a long torso. makes them look like a preteens A cups unless I have a bra on and they vanish to flat when laying flat unless held or pushed into the center where they should be located. I am wondering what type of implants look the most natural when placed under existin breast tissue and muscle and what size I would end up with if addding 500-600ccs to each? I want at least a round full F cup because my frame can support

Daniel Barrett, MD · Answer

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

Camille Cash, MD · Answer

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.

Luis A. Mejia, MD · Answer

Dear Neat485972, thanks for sharing your concern will be great to see some pictures to evaluate your case implants sizes selection are maybe the difficult step in this process, I do suggest to take a sit with your surgeon and talk about it, discuss your desires and listen his or her recommendation about, in order to meet your expectations. However it is impossible to pick or recommend style, shape, type or sizes without an in person consultation that provide the chance to get the measurement of key breast parameters. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia

Irena Karanetz, MD · Answer

Hello,

Thank you for the question.

Adding breast implants will certainly add nice upper pole fullness, and can help achieve and more lifted and fuller breast shape.
 
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions. 500-600cc size implant are typically considered large. 
 
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
 
Best wishes and good luck.
 
Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Connie Hiers, MD, FACS · Answer

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.

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

Answers (6)

Answer: Advice on implants to improve shape

Answer: Advice on implants to improve shape

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Augmentation

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

Answers (6)

Answer: Advice on implants to improve shape

Answer: Advice on implants to improve shape

Answer: Breasts

Answer: Breasts

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.