Can I go from a B cup to a DD at one time with implants?

The process of breast augmentation is about understanding the trade-offs.  You want to make good decisions for yourself both for today and for the future.  I see many patients who are an A or B cup and may ask to be a D cup or larger. My response is that you might think that you want that, but you haven't lived at that size before.  I see many many patients with D and DD size breasts (who have never had implants) who have back and shoulder pain, difficulty exercising, etc.  They have a breast reduction and are thrilled to be rid of their pain.  And when these breasts are large because of prior implants, then they can have problems with stretching of the skin/ atrophy of the breast tissue from the pressure of the implants that can be very difficult to fix, even after removing the overly large implants.  So the first answer is no, it isn't a good idea.  You shouldn't want an operation that is going to "hurt" you by causing problems later.  The second answer is -don't focus on cup size.  Your breast measurements determine how large an implant that you can have.  You want to fill the breast but not overly stretch the breast.

Thank you for your question. Yes, this is possible to go from a B cup to a DD but I do not recommend it as the risk of complications increase remarkably. This is true especially if you have not had children and nursed. In my opinion, implants should be biometrically sized and chosen to fit your body proportions or anatomy. In my experience, the older a woman gets, the less she likes having large breasts. Too large of implants can result in heavy breast syndrome, back and neck pain, shoulder grooving and continued breast drooping. Please seek expert consultation with your board-certified plastic surgeon for proper sizing. Best of luck to you!

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  

Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon



#RealSelfCORESurgeon