I am currently a 32DDD naturally no sag, 115 lbs, 5'3. I want to be at least a 32H after silicone implants. Is that possible?

At size 32, each 100 cc of implant corresponds to 1 cup size change. To go from a DDD, which is an F, to an H would require 200 cc implants. 600-700 cc implants weigh more than 1 lb each and will result in descent of your breasts. Remember, a hole has to be made for the implants to be placed. When that hole is made, you are cutting your living tissue and your breasts will bottom out, particularly with a heavy load. I recommend you consider a more conservative size or possibly fat transfers.

Best Wishes,

Gary Horndeski, M.D.

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.

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. They also get to see what they would look like when the implants 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

Dear Blondebrabuster,
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

Hi. Thank you for your question. The larger the breast implant you choose, the larger the size you will become. But, over time, larger breast implants are heavier and can create more sagging than smaller implants. Sometimes, there is a limit to how large an implant can fit during a breast augmentation. If you reach the maximum stretch of your tissues but still are unhappy about the size, then sometimes a second surgery is necessary to go larger after the muscles and tissues have stretched and relaxed. It would be best for you to have an in person consultation so that you can better understand what size and outcome are realistic. That way you can see if that will match what your goals are. Hope that helps. Best of luck!