If I already am a natural 32DD and want implants for more larger breasts/upper fullness, what will that look like?

hello thank you for your question and provided information as well.. based in your question its difficult evaluate you if the case dont have a picture, my recommendation is get  a consultation in person with a plastic surgeon to discuss all about theme.

Hello! Without a picture of your breast or an in person consultation it is very y hard to gauge the actual size of your breast. Bra size is not a true representation of your breast size. Every brand and make of bra is different, and you may be one size in one brand, and another size in another brand. How your breasts feel and look on your body, and fit your body type is the most important factors when talking about size. In my office, we often times use the Vectra to allow a 3D image of the person with their current breast size, and show them what they will look like with their desired cup size. This gives the patient an idea of the difference between what they currently have and what they desire. Also, you can consider fat injections to the breast for fullness and volume. Fat will be taken from one part of the body and reinjected into the breast. However, it is not possible to achieve results you desire with fat transfer alone Please see a board certified plastic surgeon for an in person consultation.

You have multiple options. Breast augmentation with implants, fat graft to breast or combination of fat graft and implant placement. Unfortunately, it would be very hard to recommend a procedure without pictures. I do not like HP implants for the purpose of upper breast fullness. It is a great option for deflated breasts with the goal of high projections. I have a good number of patients who had a large breasts and we placed 500-550cc moderate plus profile implants which they were very happy. Good Luck.

At
size 32, each 100 cc of implant corresponds to 1 cup size change.  600 cc implants would take you up 6
sizes.  Implants are foreign bodies, are
not integrated and the body will surround it with a capsule.  As a result, the breast implant will descend differently
than your normal tissue, resulting in misalignment and will require
revisions.  Unfortunately, you have not
provided any photographs but there is an alternate way to achieve upper pole fullness
using a breast lift.  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
and the ability to breast feed are maintained. 
At the same time or later, fat transfers can be performed if additional
volume is desired.Best Wishes,Gary Horndeski, M.D.

Dear CourtneyRM,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

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

First off, ignore what your VS bra is telling you.  VS always upsizes their bras to make people feel better about their breast size (which is why they are successful).  If they are telling you that you are a DD, there is a good chance that you are more like a realistic large B/ C range (we see it all the time when patients first come in).  There is no real standard of measurement which is why you can probably wear three different sizes from three different manufacturers. Second, without a direct examination, it is impossible to say what the correct style/dimensions/ volume of implant will work best for you.  That decision is a marriage between your goals and your breast size/ width/shape/frame/ etc.  The best thing to do is to come for a consultation with board certified plastic surgeons and see what will work best for you.  I hope this helps.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.   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.  FACS
Harvard-trained plastic surgeon

Hi. Without pictures or a personal evaluation is very difficult to answer your question. I do have some pictures of before and after cases of patients with big breasts that underwent implants placement, this is a common procedure when the upper pole is empty.International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery (ISAPS)
Member of the International Confedaration of Plastic, Reconstructive and Aesthetic Surgery (IPRAS)

Thank your for your questions. It is hard to say what it will look like without photos. Your best option would be to schedule a consultation with a Plastic Surgeon near you. During this consultation you will be able to discuss your goals and concerns with your breasts as well as address any additional questions you may have. Using this information along with their own observations, the surgeon will be able to provide you with their professional opinion as to the procedure(s) that will best help you achieve your goals. Good Luck.