I Was a 32A and I Wanted to Be a C Cup and Got a 34D to DD. I Would Like to Downsize Without a Lift?

At size 34 each 100 cc of implant will correspond to 1 cup size change.  When you received a 380 cc implant, you went up 3.8 cup sizes and that is why you are a DD.  If you want to go from an A to a C then you will need 200 cc implants.  Many patients believe that the only way they can have attractive breasts is through breast augmentation.  However, there is a new technique called Breast Augmentation with Mini Ultimate Breast Lift, which allows the breast to be reshaped to increase projection and repositioned to increase upper pole fullness and cleavage.  The operation is done through a circumareola incision avoiding the lollipop or boat anchor shaped scars, which are unsatisfactory to patients.  I recommend Implant Exchange with Mini Ultimate Breast Lift.

Best Wishes,

Gary Horndeski, M.D.

There are two issues you are speaking about. One is size and the other is appearance. You would need to decrease your implant by 100cc to get a cup size difference.  Ultimate bra size depends upon where you buy your bra.  In terms of the need for lift that has to do with nipple position.  If you posted some pictures it would be easier to evaluate whether you needed a lift.  I suspect that since you are asking that you probably do need a lift. You may be able to get by with a concentric lift which would require a scar around your areola without a lollipop of anchor component.

  Downsizing is an option and the decision to lift would have to be made by your plastic surgeon.  Sometimes a lift can be avoided, but, to some degree, this will be based upon the volume loss.  I must say that an A cup going to a DD cup with 380 ml is a bit of an enigma.  I have put in 400 in many women and they do not even go up 2 full cup sizes.