Petite, Naturally Large Breasts for my Frame, Getting Lift and Implants. What Size? (photo)

if a woman wears a size 36 AB bra and would like
to be a C cup, which is the average size that women wear and the average size
bra that is sold, she needs a volume of approximately 350 to 390 cc to make
that change. This becomes less if she's wearing a 34 bra, because it has a
smaller strap size and the cups have a smaller diameter. A smaller diameter
implant would then be a volume of approximately 300 to 350 cc. In the same way
if she was more petite, maybe a double zero or size one and wore a 32 AB bra,
then to become a 32C cup she would only require about 250 to 300 cc. since you are already 32 DD you be at least 2 cups fuller . this will be a big implant for you.

If you are size 32 DD and want tro be a G that requires 2 cup size increase, which would be about 200 cc of implant.  I recommend you undergo a lift through a circumareola approach leaving only a circumareola scar.  With this technique your breast tissue and areolas can be lifted and implants placed high on the chest wall to give you the projection you desire.  You may be a candidate for a new technique called Breast Augmentation with Mini Ultimate Breast Lift.

Best Wishes,

Gary Horndeski, M.D.

Thank you for the question and pictures.  It is also helpful that you have selected a " goal” picture;  this will be helpful in the communication process. Keep in mind, that sometimes goals cannot necessarily be met precisely ( realistic expectations are important). I try to remind all patients undergoing breast augmentation/lifting surgery, that this  combined operation  does tend to have more potential risk/complications associated with it, compared to  either one of the operations done separately. Also, patients should understand that the aesthetic results of this  combined operation do not necessarily match that of patients who have undergone breast augmentation only.

Based on your history and photographs, I think breast augmentation/lifting is the way to go. In regards to the appropriate breast implant size/profile, your plastic surgeon will be in the best position to advise you ( as opposed to online consultants).

 Again,during the planning  phase of your  breast augmentation/lifting surgery it  will be very important to communicate goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “DD cup”  center means different things to different people and therefore prove unhelpful. 
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.


I 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. 

I hope this helps.