Will my 390cc implants get me to a D? Will the implant drop into my tubular breast? (Photo)

It is very difficult to determine the best lift you will need (recommended based on your photos) or 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 300 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. The same process goes for just filling in the upper part of your breast without becoming much larger. 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 link below including silicone vs saline implants

Thanks for your question and congratulations on your surgery. The original shape will probably result in a longer recovery with regard to dropping of the implant. There is more resistance in the lower pole of a tubular breast with constriction. The massage and stretching will help but your surgeon needs to be the one to direct this. Looking at your chest, I don't think you could have gone much bigger. The inferior tightness will push everything up and more volume will simply spill out into your arm pit or try to cross the midline. Best of Luck!

I appreciate your question.





It depends on your chest wall measurements and existing breast tissue as implant size does not accurately correlate to a bra size.  It also depends on the brand and style of bra you wear as size varies from manufacturer to manufacturer.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz

Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon