Need a Breast Lift and Implants, But Don't Know What Size I Should Get? (photo)

Hi Im 23 years old, 5 7 in height and 140 lbs, mother of 4 year old. I want to have bigger and higher breasts and also more together, I want more Im planning on getting a lift with implants to fill the upper breast tissue and for them to be higher up. now im 34DD bra size but look like C. What size would you recommend so that I have big full breasts?

Doctor Answers 5

Best Implant Size for Mommy Makeover

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.

Implant size with a lift.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thanks for your question.  I think based on your photos you will need a full lift so that you can have a fuller higher breast position.  I think based on your photos and the photo you want to see yourself becoming you will need to be in the 350-450cc size.  I wouldn't be able to say for certain without actually examining you but that would be an educated guess based on your photos.  If I saw you in the office I would have you try on an implant sizing system so that we could zero in on the exact size.  I could then also determine, based on your exam, the exact type of implant shape that would be best for your body.

Choosing your implants for breast lift with simulataneous placemnt of breast implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Breast lift with simultaneous implant surgery can solve the problem that many women develop after having children or losing a significant amount of weight which is loss of upper pole fullness, combined with ptosis, or “sagginess”, of the breast.  The main difficulty with this operation has been achieving long term results – in other words, helping to prevent “bottoming out” of the implants and loss of the upper pole fullness that placement of the implants was designed to achieve.  This can be accomplished with development of a proper submuscular pocket to support the implant and is actually much more important than the size of the implant chosen.  The size of the implant you choose should be one that gives you the roundness and cleavage in the upper pole that you desire.  Before and after pictures for this surgery should be far enough out (several years) so that you can be assured your surgeon understands this important concept.

What size implants for lift/aug

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi, from your pics it looks like you do need a mastopexy augmentation but thats all you can tell based on pictures. the way to determine what size implant will achieve what you have in mind, is to consult with a plastic surgeon who is able to show you several pictures of patients who had the same procedure done and the different sizes and shapes that were used in each patient, so you can have an idea based on their results.

Best Breast Implant for Me?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question and pictures.

I think you have selected the appropriate operation that will help you achieve your goals. Unfortunately, it is not possible for plastic surgeons to accurately predict exactly what breasts implant/profile will be necessary to  achieve your goals.

It will be very important for you to select a board-certified plastic surgeon who can demonstrate significant experience with breast limitation/mastopexy surgery. Ask to see lots of examples of his/her work.

Communication with your plastic surgeon will be one of the keys to achieving the results you are looking for. Unfortunately, the use of words such as “big full breasts” means different things to different people. 
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

In my practice I use goal pictures to communicate with patients.  With this technique patients are able to demonstrate what they are trying to achieve and what type of looks they do not like as well. 
I also use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 

Usually, the choice of breast implant size/profile is made intraoperatively (his and my practice).  This is done after use of a tailor tacking technique.Tailor tacking  is an important part of the mastopexy and mastopexy/augmentation procedure. It involves TEMPORARY  closure of the skin (for example with temporary skin staples)  to double check the amount of skin that is to be excised during the procedure. This maneuver is done to ensure that enough skin, but not too much, is removed. On the one hand, it is important that enough skin be removed to achieve the aesthetic breast lifting results the patient is looking for; on the other hand, is important not to move too much skin creating tension upon closure and potential wide scars.

I hope this helps.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.