I Want Big Perky Boobs is It Possible with my Breast Type? (photo)

Thank you for the photos. Your breasts appear to be quite full in the bottom part, which is a very natural look for 38D. The breasts of the woman in the photo appear to be mainly composed of implants. She probably doesn't have much of her own breast tissue, unlike you, and that's why her breasts are so round on top. You could maybe get this same look if you chose large enough implants that are reasonably high profile, and have them placed in a submammary location (under the breast itself), where they will appear more round.  There is a round, more cohesive implant available from Allergan, but unfortunately I don't think they are available in the US currently. Check with your plastic surgeon whether Allergan Inspira Truform 2 (Soft-Touch Gel) is available to you. Good luck!

Hello- great question. I agree with quite a few other surgeons- implants over the muscle would achieve the result you are after, though in fact will look better than the ones in the other photo. Don't forget the hidden power of push-up bras.... no doubt in full use in the comparison photo you provided!

Thank you for your question and photos.

Unfortunately, if you were to have implants (below or above the muscle), you will never have the result you desire for very long. The problem with the type of lift you had, which is more than 50yrs old, is that a vertical incision was made. A vertical scar where most of your breast tissue sits, will inevitably stretch and give way to the 'bottoming-out' phenomenon. Adding an implant will only make things worse for you in the long run, requiring 'maintenance' revisions to re-lift your breasts. Save yourself from further disappointment.

You may want to take a look at the breast reduction/ lift with implant blogs or questions. You will see that many women end up removing the implants altogether. It's unfortunate to see that many surgeons are still advocating implants to women with anchor/vertical lifts.

Kind regards,

Dr. H

         You could definitely have an implant placed to help with the superior pole fullness that would make you look similar to the goal pic.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Hi there,

You have a beautiful result from your surgery, congratulations to your surgeon. All you need now is some subglandular implants to give you the upper pole fullness you desire.  Easy!  Go visit your excellent surgeon and have the discussion.

All the very best.