I have large breasts. Is augmenting possible? I'm a 38H in bra size

Thank you for your question regarding if you would be a candidate for a breast augmentation.

It sounds like you have a good amount of your own breast tissue. If your concern is sagging breast, and your goal is to make them perkier, it sounds like you would be wanting a breast lift rather than augmentation.

I recommend that you have an in person consultation with you or more experienced Ford certified plastic surgeons in your area.

Thank you for your question. Without photos it is difficult to determine what options are best for you. If you are already an "H", adding an implant is in my opinion going to make you too large. The best operation for you to make your breasts more "perky" is probably a breast reduction along with a breast augmentation. I know this sounds strange at first, but the reduction will remove some of the excess breast tissue on the lateral (outer) portion of the breast, lift the nipple position and reduce the areola if needed. The placement of the implant, the augmentation will add volume and give you a nice shape. You should find a board certified plastic surgeon in your area who is an ASAPS member. Someone with Vectra 3D imaging would be helpful so you can see in 3D what a reduction alone vs a reduction with the implant will look like on your body. Best wishes. 

Thanks for your question! Without photos, it's very difficult to assess your situation. That being said, most women wearing a 38H would benefit from a breast lift/reduction to correct the droopiness. I would not advise putting an implant in at the same time as that procedure. Please be sure to consult with a board-certified plastic surgeon to ensure an optimal outcome. Good luck!

Hi.  If you are already wearing an H bra, then likely having implants would not help much.  Instead, you can have a breast lift or even a combination of reduction and lift to use your own breast tissue to give a natural and perky shape.  Talk to your surgeon about the options in person so that you can get a better idea of what the expectation would be with each one.  Best of luck!

The reason your breasts aren’t perky is the effect of gravity which increases with breast size.   Please post photos. You may benefit from a reduction and insertion of implants for upper pole volume.

Hello. Thank you for your inquiry.

It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually without any photos.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind