I'm a deflated 36 D, trying to figure out if a more cohesive Natrelle SSF would be required to reach my goals? (Photo)

First, your goal photos are not the best goal since these implants are starting to bottom out from being too large and heavy. Second, do place the implants behind the muscle for better support and more upper breast fullness. Third, please do not choose large heavy implants. Your now stretched out sagging tissue will not support heavy weight, and you do not have large breast bases.

From your photograph, you appear to have plenty of volume. The technique I recommend is a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello, thank you for your question. I would speak to your plastic surgeon about this, see if you can see how each feels in your hand. Highly cohesive can be a bit more firm but if it ruptures tends to stay within the silicone shell.