Would an E cup be suitable for my frame with implants and simultaneous uplift? (Photo)

Thanks for your question! I do not think you are in need of a breast lift. An appropriately sized implant should get you a nice, long-lasting result. Good luck!

At size 36 B, each 200 cc of implant corresponds to 1 cup size change. To go to an E would require 600 cc implants. 600 cc implants weigh over 1 lb each and would inappropriately large and would result in descent. As others have stated, you do not need a lift. I recommend you consider smaller implants.

Best Wishes,

Gary Horndeski, M.D.

From your photos you do not need a lift. Just keep the implant inside a reasonable size (less than 400cc) and you should not be at risk for ptosis.

Dear Creative660665,
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

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 with different size breast implants. 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

From your photos it appears you are a candidate for breast augmentation. You do not need a lift. Heavier implants can lead to sagging more quickly over time due to the weight of them. Good skin elasticity (and genetics!) is helpful, as is good support. Schedule a consultation with a board certified plastic surgeon near you to talk about your surgical goals. Many surgeons have sample implants available that you can try on to get an idea of how you may look after surgery. I've included a video on breast augmentation and implant selection that I hope you find helpful.

An "E" is too large and heavy for your frame and tissue. Please do not go that large. Initially, you might be happy, and then the girls will sag from the weight. Your breasts are sagging some now. Plus, it will be too heavy for your neck and shoulders long term.

I have never seen such a complex set of drawings on somebody. You’re way over thinking this. In over 30 years I have never seen such a complex set of drawings on somebody. You’re way over thinking this. You absolutely do not need a breast lift because your nipples are way above the inframammary fold. That is the reason to do a breast lift if the nipples have gotten down to or below the fold, so take a lift off the table because it does not apply to you. The most important thing is to get the right base diameter implant that fits you like a shoe fits your foot - forget all the other measurements and lines on your picture - the only one that matters is the base diameter. Then the implants should always have the right diameter for you, and if you want a higher profile implant, you can go with a high profile, extra high or ultra high, depending on your preference. The bigger you go The more there may be stretching and more risk, but that’s your choice if you want to take that risk. But a lift is not applicable whatsoever in your case. Whoever told you to put those lines on completely misled you and doesn’t really know what they’re talking about.