Breast Augmentation and Mastopexy. Is 400cc right for me? Small deflated C after breastfeeding! Would like a full D/DD. (photo)

I agree with your focus on the details. From the pictures you selected it is clear that upper breast fullness is important to you.  I think that this is a critical aspect of the procedure- to create a well defined cleavage and what I clinically refer to as "upper breast pole fullness".With regards to the volumes you mentioned, I would recommend the larger, the difference is between 100 to 50 cc depending if you go with 300 cc or 350cc implants.I hope this helpsSergio P. Maggi, MD, FACSAustin Plastic Surgery Centerdrmaggi.com

Thanks for your photo. As you have enough breast tissue my advise to you would be an implant size of 330/400 cc with mastopexia and lollipop scar for achieving a D cup. Please consult with a board certified plastic surgeon and good luck...

A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.



I prefer to  use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.Now, in order to help determine what the best implant size for your desired result should be it would be best to seek out a local board certified plastic surgeon for a live consultation to receive advice based on your individual situation. The necessary size of implants can be different for every patient, so a certified surgeon would be best to determine for you. Good luck!

Thank you for your question and sending your  pictures. Without examining you and having your breast dimensions (most importantly your base diameter) it's impossible to recommend an exact implant size for you. You can get to your goal with either a moderate or high profile implant. Good luck. 

Your breasts look heavy and are sagging somewhat so it's very important not to use an implant this is too large since that will compromise your breast lift. The women you show as "ideal" likely did not have a breast lift so it's difficult to compare yourself to them. I would go with a more conservative breast implant size (