DD to G cups?

Question

I'm just curious what I would be looking at as far as procedures. At one point, I had G cups and absolutely loved them. But due to children, nursing, and weight loss, they are now down to a DD/E. I realize they are still "big", but I just miss the fullness of them and hated I went down two cup sizes. I talked to a Surgeon and he suggested just a lift, are they already too big to add the implants as well? Thank you!

Daniel Barrett, MD · Answer

Dear Intelligent693445,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

A lift would reshape your breasts to give you more fullness, and since little tissue is removed during the surgery, you would be about the same size as you are now. Without further details, it would be difficult to say whether larger implants would be suitable for you.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Matthew C. Camp, MD · Answer

The bigger the breasts are, the more likely you will have sagging, and need for revision. A lift alone will improve the shape, and if a conservatively sized implant is added, you can achieve a more projected dome shape breast, similar to the shape of a younger breast. Just be aware that adding implants entails the small but real risk of capsular contracture and need for further surgery.

Gary M. Horndeski, MD · Answer

Going from a DD to a G will add volume but will not make them necessarily more attractive. They may be disproportionately large. Unfortunately, you have not provided photographs. Your surgeon already said he thinks they are too big. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

James Knoetgen, III, MD · Answer

It’s completely understandable to want to restore the fullness and size you loved before. A consultation with a skilled plastic surgeon is key to determining the best approach for your unique goals and anatomy. Based on your description, here’s an overview of the possibilities:
Breast Lift (Mastopexy) with Implants
•	If you want to both restore volume and address sagging (ptosis), a breast lift combined with implants might be an option.
•	This procedure would remove excess skin, reposition the breast tissue, and add implants to achieve the size and fullness you desire.
•	It’s possible to use a range of implant sizes to increase your cup size to a G, depending on your anatomy and skin elasticity.
Breast Lift Alone
•	If your surgeon recommended a lift without implants, they might believe your natural breast tissue is sufficient to achieve your desired look once lifted.
•	This approach focuses on reshaping and lifting the existing tissue, but it won’t add volume.
Considerations for Adding Implants
•	Your current size: A DD/E is already quite substantial. Adding implants to reach a G could place more weight on your chest, which may impact long-term comfort and back health.
•	Skin quality and support: After weight loss and nursing, the quality of your breast tissue and skin plays a significant role in determining if implants are a viable option.
•	Combination techniques: In some cases, fat grafting can be used alongside implants or alone to add volume in a more natural way.
Risks to Discuss with Your Surgeon
•	Implant size and weight may increase the risk of complications like implant displacement, capsular contracture, or sagging over time.
•	The type of implant (saline or silicone) and the placement (above or below the muscle) also matter.
If your heart is set on restoring the fullness and size of G cups, it’s worth seeking a consultation from a board-certified plastic surgeon who specializes in breast augmentation. They can assess your anatomy, discuss your desired outcome, and create a tailored plan.

Camille Cash, MD · Answer

You can elect to have implants with a lift to restore you to the size you had prior.  Keep in mind that over time larger breasts tend to sag more quickly so it is possible that adding more weight will result in the need for another lift in the future.

Connie Hiers, MD, FACS · Answer

You did not post photos, but I suspect your skin has been thinned and stretched with children and will not support additional weight. The G cup is very large and heavy and will sag. I would suggest doing a lift and enjoy your new look that may stay looking good much longer than any G cup.

DD to G cups?

Answers (8)

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