I'm a Male With Natural 38C Breasts, Can I Go Much Bigger? (photo)

Okay, you are a male with female breasts. The breasts themselves are larger than those most women have and even look nicer than those on most women. I think for starters, you need to figure out why it is that you have feminine breast, before you decide on what you plan to do surgically. You should have an endocrine work up to see if you have some severe hormonal imbalance or some other reason this has occurred. That should be your first priority . then you willbe in a position to decide what it is that needs to be done . Also, a psychological evaluation should be done. I would be surprised if you could find a plastic surgeon willing to put implants in you until there are some answers to some very basic questions.

Transgender male to female breast augmentation is a possibility and can be performed to achieve larger breasts.  On a visit with a plastic surgeon that specializes in surgery for transgender individuals you can discuss your goals as well as the implants that will used to achieve them.

Thank you for your question and for your photos. Based on your
photos provided, you are not an ideal candidate for breast augmentation. Your breasts are very nice and big. I would
advise you to schedule a consultation with a board certified plastic surgeon
for a detailed examination to discuss all possible treatment options and what
your expectations are. 

Assuming you have been appropriately worked up for what is the cause of your breast development and you have been counseled from a psychiatric standpoint on issue surrounding gender identification and surgery, I would say that you are a candidate for additional volume through augmentation. This would require a physical examination to determine what size range would work best for you depending on your anatomy and desired results. In general, 800cc is about the largest implant made without special order, so 1200cc is a little larger than I would feel comfortable recommending in any patient. Remember that your skin will continue to age and very large implant will sag more significantly with time and may not be in your best interest long term regardless of your desires today. Be sure to find a board certified plastic surgeon who can advise you on an individual level what options are best for you. 

No OTC medicine increases breast size in Men ! Stay away from supplements that claim that they can do this- it is a scam. If it worked it would have been tested and FDA approved for this usage. The only medicine that might work would be for male breast enlargement caused by an endocrine disorder. You would need to see an endocrinologist for a work up if this involves you.

Thank you for the question, Only physical examination can accurately determine if you need a good size for you. Seek for a Board Certified Plastic surgeon.Thank you

Although it is not uncommon for men to have breast tissue, I would recommend a endocrine work-up to make sure there is not something medical that requires more attention.  Once you complete your work-up and you want to proceed with larger implants, then I would recommend a similar evaluation and consultation that women go through for breast enhancement, whether it is through implants or fat grafting.

In my experience , genetic males who opt for breast augmentation are unique in several ways. First of all, men are frequently larger than women. Therefore larger implants don't look as gaudy as similarly sized implants may in women. Secondly, the pectoralis major muscle is significantly thicker than in most women so that it tends to flatten the implant more in males. Therefore one generally uses higher profile  implants to get real projection, (unless the hormones have given sufficient projection). Also, because males generally have thicker tissues, they can use either silicone OR saline with similar results ( without the threat of rippling) whereas with women, most of us use silicone more frequently than saline. Also, because the implants need to be larger, the axillary approach ( which I rarely use anyway) is used less frequently in males. Lastly, "standard " implants generally come in sizes up to 800 ccs which translates to roughly three or more "cup" sizes. If you're already a 38C, an 800 cc implant should be sufficient. Oh, and one more thing. It can be bigger operation in males so you "may" pay a little more. 

Based upon how stretched you skin appears, I do not think that you could tolerate/handle much larger breasts or implants.

You look neither male nor 206 pounds in the provided photo. If you are male to female transgender and have not taken female hormones or suppressed testosterone, you are lucky to have such youthful, attractive, and full breasts (and no chest hair).

Irrespective of your gender identification, the breasts you show in your photograph cannot be enlarged by much at all, as the cleavage is close, the skin is already full, and the breast-to-waist ratio is large. You could likely add no more than 250cc per side, if even that. 1200cc is achievable only with significantly overfilled saline implants or tissue expanders, since the largest silicone or saline implants are 800cc with the saline allowing some overfill (but not to 1200cc).

Any surgeon who agrees to operate with these stated goals is not doing anything good for you. And this advice has nothing to do with gender, but with simple anatomic limitations. 1200cc would add approximately 4-5 cup sizes to your present breast volume. That is clearly impossible without harming you. Best wishes!