30DD/32D, 45, 127lbs, good candidate & sizing suggestion to achieve a more in-proportion-look? (Photos)

The best sizing suggestion is to make an appointment for a consultation with a board certified plastic surgeon. Selecting the best size is a complex procedure with many variables. To do this properly requires a careful physical examination and a thorough discussion of your goals.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear Sensible2407,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

If you are happy with the volume I'm not sure breast augmentation is recommended. Adding an implant will give you more upper pole fullness and increase the volume. The nipple position will not be drastically changed with this surgery. I encourage you to meet with a board certified plastic surgeon for a consultation to discuss your goals and learn more about what you can expect in terms of results.

I would meet with a board certified plastic surgeon, be examined and measured, and try on the range of sizes that best fits your frame and tissue. Then, you can actually see what you like.

Dear Sensible,
I'm not sure your are being very sensible. Your nipples are very widely set and creating cleavage with breast implants will exaggerate that even more. Your breasts look great and well proportioned to your body. Leave them alone!

Hi and welcome to our forum!From your photos, I note that you appear smaller than a "D" cup. You demonstrate moderately sized breasts with slight asymmetry in size. There is poor cleavage. There is loss of superior pole volume. There is minimal sag. The nipples reside above the level of the fold beneath the breasts.Cup size is an extremely inaccurate measurement of breast size as there is no standardization in the bra manufacturing industry. One brand's "C" is another's "D". In addition, many individuals wear ill-fitting bras. The most important measurement here is the width of your breast (or base width diameter...BWD). Implants come in different sizes, projections, and BWD's. You want to choose an implant of approximately the same width as your breast....too narrow, no cleavage...too wide, exaggerated cleavage and "lateral boob". You can then choose size and projection. This is totally subjective...Find out the brand of implant your surgeon utilizes. Implant manufacturers have websites on the internet. Look at their implant catalog and choose a size of the same BWD. This will centralize the breast tissue on the mound. Size can be determined by placing rice into a measuring cup (1 cc 1 ml) and place in a plastic baggie in your bra.....or, many plastic surgeons will have implant sizers in their offices. Some offer computer imaging, as in your case. If a relatively small implant size is chosen ( less than ~350 cc or so), addition of a lift will increase "perkiness" as it will lift the nipple areolar complexes into anatomic position, will remove stretched out skin, will increase superior pole breast volume, and conify breast shape. Larger implants will fill out the skin envelope without a lift.Visit a board certified plastic surgeon for in-person evaluation and discussion (looks like you already have done so).Best wishes...