Natural 32D Increase to 32DD/E?

   It is reasonable to increase the breasts by one cup size and fill a deflational component to the breasts.

The goal of breast surgery is to create beautiful breasts.  Beauty is determined by several factors including symmetry, skin tone, position of breast on the chest wall, position of areola, cleavage, shape and least of all volume.  If you are dissatisfied with your 32 D because you have lost some weight then it is likely that you have lost skin tone and that adds to your dissatisfaction.  Rather than just use an implant, there is a new alternative technique called The Mini Ultimate Breast Lift.  Using only a circumareola incision and without implants it is possible to reshape your breast as you desired.  This will increase the upper pole fullness, elevate your breasts higher on the chest wall and increase your cleavage.

Best Wishes,

Gary Horndeski, M.D.

As you can imagine, it is not possible to give you precise advice without direct examination and a full communication of your goals. I would suggest that you will be best off seeking consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients in your situation.

During this consultation, communicate your goals clearly. I would suggest that you do not base your communication (or satisfaction with the results of surgery) on achieving a specific cup size; as you know, cut sizes may vary from one bra manufacturer to another.  Also, words such as “natural” can be misinterpreted, as these types of terms may mean different things to different people.

In my practice, I find the use of goal pictures very helpful in the communication process. Show your plastic surgeon what you are trying to achieve as well as what you find undesirable.

Best wishes.