My natural breasts are a D cup already. Which size of implant do I choose to fill up the saggy skin around my boobs? I'm 5'2"

Dear Enthusiastic843661,
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

Hello, thank you for your question. A board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy.

really difficult to answer without pictures and a consultation. my initial impression is wow that seems big for someone that is five foot two. my second impression is that what your partner wants is a distant second to what you want. thirdly , if you have all that loose skin ,perhaps a lift would help

Unfortunately, you have not provided photographs.  However, if you are already a D, you have enough volume and need a lift not implants.  The technique I recommend is 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.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

For your size 600cc is quite large, however if you do have sagging D cup breasts then you might well require an implant of such as large size in order to fill out your breasts if you are not willing to have a lift with a smaller implant. But remember that larger implants are more likely to require revisional surgery sooner then smaller implants. Discuss all this in a face to face consultation with your plastic surgeon. 

Thank you for your question.  I think you should take a step back and think about what is right for YOU, not what your partner wants. You are very petite at 5'2", and 600 cc implants seem like they would be very large for you (though it is hard for me to tell without photos).  Also, the best treatment for "saggy skin" on the breasts is typically a breast lift and tissue rearrangement, not very large implants which will only sag more in a stretched out skin envelope.  I would seriously consider what goal size you want to be.  Roughly, 100 ccs corresponds to 1 cup size.  Take care and good luck!Dr. Lisa

Implants can be used for sagging skin. It all depends on the location of the Nipple /areola on the breast. If the NAC is lower than the fold (use a pencil to test) then a lift is required. A large implant will look better for a short while then just look big and saggy. Talk to your plastic surgeon they will be in the best position to advise you  on the best plan for you.

Hello. Thank you for your inquiry.

It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind