I am currently a 34D and want to restore volume. Should I get implants? I don't want to be too big! (Photo)

If you don't want to be any bigger, implants are a poor choice.  The size implants your surgeon has suggested are too small to give you any sort of upper pole fullness.  So you are stuck.  If you wanted to be bigger and have upper pole fullness than an appropriate sized implant would do that.  

The best way to restore volume is using a breast implant. Of course, this will increase your volume and projection over the entire breast, not just the upper portion. It will also give a little bit of a lift to your breasts. As long as the implants aren't too large, you can still achieve a natural appearance. I encourage my patients to try on the implants with a sports bra to get a visualization of their post-op appearance. Good luck!

An important question. A saline or silicone breast implant will enlarge the entire surface area of the breast. Anatomically shaped implants expand the upper pole the least, traditional round silicone implants will increase he upper pole volume moderately and saline implants will increase the upper pole volume the most. Your concern appears to be focused on the upper pole and I agree that you do not need a lift. For isolated upper pole filling without increasing the entire surface area of the breast I would recommend fat grafting. This would involve liposuction from some other part of your body which would then be transplanted to the area of concern for a permanent enhancement. Fat grating in breast augmentation is not the best technique for most patients but for someone who has goals such as yourself is a good option. Take care

Thank you for the photos.  If you are trying to restore volume, there are a lot of styles of implants out there to accommodate the shape.  There are shaped implants that will provide you with the contour and profile where you need volume.  You might also consider an internal lift that will help position the implant to give you a more natural look. It will give an appearance of a lift.  As far as the asymmetry, that can be compensated with a different size implant.  You should really sit down with a board certified plastic surgeon to discuss your options.  Good luck

Thank you for your question and photos.Your breasts are too low and the majority of your breast tissue is in your lower pole. Fat transfer nor implants will correct that. The tissue must be reshaped and re-positioned higher on your chest wall to achieve natural and aesthetically pleasing results. Standard breast lifts are too weak to achieve lift longevity and upper pole fullness. The Horndeski Method (TM) is a technique that maximizes lift and longevity with natural results without implants or the dreaded vertical scar. Implants are not a viable option for you as they will inevitably stretch your tissues again and cause more problems down the line. I suggest you visit the breast lift with implant revision forum on this site for the truth about using implants in conjunction with lifts or using implants to 'lift' breasts. Please do your research. This site is a great start.Best wishes and kind regards,Gary Horndeski M.D.

You have a tall torso and relative to your collar bone your breasts are "low" on your chest which is why you are feeling as though you lack upper pole fullness, even though your nipple areola is in good relation to the rest of the breast. Even though your breasts are slightly asymmetrical, from the photos they appear to be of adequate volume.Without examining you it is difficult to give a definitive medical opinion but fearing you will be too large is a legitimate concern. My my guess is that you can achieve an aesthetic enhancement with a mastopexy that reduces your skin envelope and tightens and elevates your breasts, but your cup size will probably get smaller rather than bigger after a mastopexy. The he advantage of your surgeon is that he or she examined you and concluded that the scars from a mastopexy may not be justified in your case. I suggest you discuss your concerns explicitly with your plastic surgeon. I am sure he or she would concur that if you feel a second opinion is required yiu should pursue that. Your plastic surgeon should be experienced in breast enhancement and board certified, preferably a member of ASAPS, ASPS, or both.Best of luck to you. 

Hello, if you are just looking for a modest increase in upper breast fullness, smaller implants might provide the difference you are seeking.  I think you have already taken the correct approach of seeking an in-person consultation so the surgeon can do a proper assessment including breast measurements, trying on sizers, etc.

I appreciate your question.

Since you don't want to go bigger, I would recommend fat grafting to the breasts.  It will restore upper pole volume.



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

Hello and thank you for the question as well as the accompanying photographs.  The two principle methods for adding volume to the breast are fat transfer and breast implants.  Fat transfer can be somewhat useful in targeting specific areas of volume loss but results can be somewhat variable.  Fat transfer is widely used in this way for revision work in breast reconstruction.  The more reliable method for primary cosmetic augmentation is to use breast implants.  Restoring upper pole volume is a very common request among patients inquiring about breast augmentation. Certainly implants would give you that benefit but would likely require an implant somewhat larger than the 190-210cc you are considering.  When faced with patients who are uncertain of their size, I use external sizers that can be worn in a special bra and simulate the end result.  There are also imaging technologies available that can give you an idea of what you would look like with different implants.  These and other techniques can help eliminate some of the mystery in helping patients feel more comfortable selecting an implant size.  Hope this forum is helpful for you.  Good luck!

Thank you for your question and photos.  If you are looking to add volume and increase upper pole fullness, I think that implants alone would be appropriate for you if you are willing to accept some sagging.All the best,Dr. ResultsMiami, FL