Petite 5'1", 110 lbs, 32C. Is it possible to get natural looking DD?

Thank you for your question and photos. Based on these photos, you can go to a DD cup. A cup size in your case is around 150 cc, so an implant in the 300 cc range will get you there. Things to consider about outcome is your chest wall anatomy. Superiorly is quite prominent over the sternum, and it dips just about the superior poles of your breasts into a depression. What this means, that you will not have a close cleavage. In my practice I use the Vectra 3D to simulate the augmentation to give you a realistic visual expectation. BTW, round or shaped implants, no one can tell the difference if the surgery is done correctly. Both implants "act" like shaped implants in the body.
See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

I recommend an in person evaluation by 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 and style 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 size and style breast implant is right for them. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame

Breast implant size has nothing to do with bra cup size - which varies with each bra manufacturer. The average implant volume placed in the US is 350 cc. A very general estimate is that one cup size is 150 to 200 cc of volume, but realize that no direct correlation exists between the two.
Your board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.
In general, the risk for infection and capsular contracture may be greater for armpit and areolar incisions for different theoretical reasons. I prefer the transumbilical or periareolar for saline and the IMF or periareolar for silicone. The pain is due to placing the implant under the pectoralis major muscle, and I do not think any of these incisions is necessarily less painful.

Good morning!
Yes I believe that is absolutely possible- I will measure your chest, we will review photos together, and you will have the opportunity to try on the implant sizers here in the office. You can definitely have a larger version of yourself, and for a DD my initial guess based on your photos is in the 600-650cc range, HP silicone gel implants.

At size 32 C it only takes 200 cc implants to go to a size DD. Your breasts are widely separated and low on the chest wall. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants or fat transfers can be placed.

Best Wishes,

Gary Horndeski, M.D.

Dear Dynamic788053,
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

A DD will not look natural on you because it is too large for your frame. However, you can find surgeons that will give you that size. I recommend not going larger than what fits your frame and tissue. Otherwise, the implants will be heavy on your neck and shoulders, and the implants will thin your tissue over time and sag. Big breasts sitting on your lap are not pretty.