Hoping to achieve a c/d cup and higher, rounder breasts - what do you recommend for me? (photos)

The first step is to schedule a consultation with a board certified plastic surgeon near you. During this meeting you'll learn about the procedure, discuss your goals for surgery, and have measurements taken of your breasts. These measurements are different than bra sizing. Your surgeon will combine the measurements with your stated goals to help you select a range of implants to consider. Many have sample implants available that you can "try on" to give you an idea of how you may look after surgery. I've included a video on this process that I hope you find helpful.

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins").
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
Based on your photos and stated goals, your choice does not sound unreasonable. A smooth round, mod +/mod profile device in that size range should deliver a very pleasing result.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your inquiry! At you consultation appointment, you should have the opportunity to try on different implant sizes. We always recommend taking a couple different shirts to see how you will look in your clothes. We would love to sit down with you to discuss your options and answer any questions. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Thanks for your question! Based on what you are describing, I think you will be happiest with a moderate profile of a moderate size. I would stick with a smooth, round implant to keep youthful upper pole fullness without being too round and fake. Good luck!

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

Hello,

Thank you for the question.

Based on your photos, you appear to be a great candidate for breast augmentation procedure which will give you a fuller cleavage that you desire.

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.

350-415cc MP+ or high profile implants will give a full C/small D cup size that you desire.

I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon
Queens, New York
(516) 833 0309