Deflated 34 DD, wanting 34DDD/34F - What range silicone implant should I be considering? (Photos)

Question

Mom of 3 breast fed and deflated used to be 36dd but am a saggy and deflated 34dd. Looking to go up to a 34ddd/34f (somewhat "fake" look). Just trying to find what range of size cc to ask about at consultations. Ive heard wild ranges of sizes from differ docs in the past and chicken out of the surgery for lack of co after this. But i want to do it and need a guiding hand. I also weight train and would like to know if i should be going under or over the muscle?

Gary M. Horndeski, MD · Answer

Your problem is not volume but position of the breasts. After breast feeding 3 children, your breasts have descend down the chest wall and are quite low. You need a breast lift not augmentation. 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 or small implants can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donovan Rosas, MD · Answer

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
With regards to your specific question, without measurements it is difficult to offer any concrete advice. The best advice available is to respect your breast width.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Michael Baumholtz, MD, FACS · Answer

Thank you for your question and submitting your photos. Truly it's a big step in your journey. It sounds like you've visited with a few surgeons already so let me try to talk in a way that will make sense.

1) Nothing anyone tells you on this platform should substitute for what a board certified plastic surgeon tells you during your consultation
2) Most plastic surgeons (myself included) dont talk about cup size but rather about a look. Gather pictures (naked breast pictures in women with body types as close to yours as you can find who have the look you want). Dont worry about the cup size. Let's talk look
3) be open to possibly needing a lift (either now or in the future) based on the pictures you show that you like.

Hope that helps

Dr B

Zoran Potparic, MD · Answer

It is very likely that you may need a lift beside breast augmentation with implants. One information to consider for the future; as you get older, sagging, breast implant contracture and volume change is more likely. Maybe you should reconsider your goals? Otherwise, implant around 500 ml, on top of muscle (subfascial) may work. Good luck.

Kadir Berat Oyur, MD · Answer

There isn’t a single “correct” CC number to request, because the same volume can look different on different body frames and tissue types. However, patients aiming for a fuller 34DDD/34F result often explore implants in approximately the 400–550 cc range, depending on profile and anatomy. I hope this helps.

Lawrence Iteld, MD · Answer

It is very difficult and imprecise to recommend a breast implant based on bra sizing. Manufacturers do not use uniform measurements- The same bra size often fits differently between manufacturers. We recommend using a combination of volume sizing using silicone overlays and measurements in conjunction with 3D imaging to give our patients the best information to select their final implant size.

Harry T. Haramis, MD, FACS · Answer

Based on your frame and to be confirmed with measurements and in office trial sizing, in my experience, would estimate 600-650cc or larger to achieve your goals. Saline implants can be larger and will give a more fake, fuller upper pole look.

An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your options and expectations.

An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your options and expectations.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Choosing the right size and profile breast implants for you.; Under muscle for a natural look. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Camille Cash, MD · Answer

The best place to begin is a consultation with a board certified plastic surgeon.  During this important meeting you'll discuss your desired look and measurements will be taken of your breasts.  This is different than bra sizing measurements.  Your surgeon will combine this information with her/his expertise to suggest possible implants for you to consider.  From the submitted photos a lift may be recommended as well.  There is no issue for under the muscle placement even if you weight train.  You will be able to return to your established exercise routine once you are healed and cleared by your surgeon.

Deflated 34 DD, wanting 34DDD/34F - What range silicone implant should I be considering? (Photos)

Answers (9)

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