I'm a 38DD and Would Like to Get Implants. My Breasts Are Sagging and my Areolas Are Very Large, How Many CC's Should I Get?

With the current size of bra that you wear, it seems that the indicated procedure would be a breast lift or mastopexy. This procedure may be performed with or without implants. If you were to use a breast implant by itself, it will not raise the level of your nipples nor will it reduce the size of your areolae. The detrmination as to whether or not to use an implant needs to be left to the operating surgeon's clinical opinion.

 

Jose Perez-Gurri, MD,F.A.C.S.

Thank you for the question.

Based on your description of “sagging and large areola” and the goals of “perky and firm”,  it sounds like you may be a candidate for breast lifting surgery ( as well as breast augmentation). It will be in your best interests  to meet with well experienced board-certified plastic surgeons who will be able to advise you best after direct examination and full discussion of your goals.

In my practice I find the use of goal pictures to be very helpful.     I have found that the use of words such as "firm and perky” etc. means different things to different people and therefore prove unhelpful.  Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

I would suggest careful due diligence in the process of plastic surgeon selection.

Best wishes.

WIth sagging breasts and larger areola and large breasts, it sound like you need a lift which would accomplish the lift and reduce the areola.  You may not need the implants.  Certainly an exam woudl be helpful.