32DD natural boobs; want small implants for perkiness?

I appreciate your question.From your photo, it appears that you would benefit from a breast lift.  A breast lift would reposition your nipples and reshape your breasts, giving them a more youthful appearance.



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 plastic surgery.



Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon

You will not achieve your goal with just an implant no matter what size you choose-large or small. A breast lift will be necessary to give your breasts a more perky appearance, but understand that even with a lift that only removes skin, your breast size will decrease. A breast lift combined with an implant will probably give you the best results.

"Perky"
means different things to different patients. No one can tell you how to achieve your desired breast appearance without an in person examination.
There are multiple options that can produce a cosmetically acceptable result
depending on your desired outcome: an implant alone in front of the muscle or a
dual plane placement of the implant, an implant and a minimal lift with an
incision just around the areola, or an implant in front of the muscle, dual
plane or behind the muscle and a greater lift. Each would result in
a different degree of improvement.
Keep in mind that following advice from a surgeon on this or any other website
who proposes to tell you exactly what to do and how to do it based on limited two dimensional photos
without examining you, physically feeling your tissue, assessing your desired
outcome, taking a full medical history and discussing the pros and cons of the
operative procedure would not be in your best interest. Natural appearing
results need to be individualized and what is appropriate for one patient
is not necessarily the best for someone else. I would suggest that you find a
surgeon certified by the American Board of American Plastic Surgery and one who
is ideally a member of The American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.
Robert Singer, M.D., FACSLa Jolla, California