Can I go from a B cup to a D cup without looking fake?

Thank you for sharing your excellent question. In general based on your frame you should be able to go from a B-D and still have it appear natural.  It will be critical to express your desired outcome verbally or through pictures so that your surgeon can make the best implant recommendation.  At times fat grafting along the upper portion of the breasts can afford a nice improvement in soft tissue coverage of the implant while also improving the upper pole contour.  Hope this helps..

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Your goal of a B to a D cup size is very reasonable.  The size, profile, and shape of
the implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon