39 yo, 5', 149lbs, 36C - (photos)

Dear MsBehave,      Thanks for submitting your picture.     From observing your picture, you appear to be asymmetrical B cup size with level 2 ptosis and large areolas.  Based on the above assessment, I would strongly recommend at least mini lift (donut )procedure with the breasts augmentation. Without it, either your ptosis will worsen or if your surgeon will try to lower the crease significantly in order to elevate the nipples, it is highly likely that you will develop double bubble complication. Additionally, you areolas will become even larger due to the stretching by the implants.   As far as implants size selection, since you are presently 36 B cup size,  550 cc implants will bring to to 36 DD. 650 cc - 36 full DD. Is that what you had in mind ?  My most popular size is full C or small D cup size, which in your case will be 350 cc - 400 cc.   Always consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly , check the before and after pictures in the photo gallery, to make sure that the are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                      Best of luck,                                           D r Widder

It's difficult to make an assessment based on the photograph alone, especially with your arms elevated. If you have any concerns about the appropriate implant size, I would recommend you revisit with your board certified  plastic surgeon prior to surgery. Thank you for your question and for your photograph. Best of luck.

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.    If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  



Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





best of luck!





Dr Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon