Which size should I go for, D or DD? (Photo)

At size 34 B each 100 cc’s of implant corresponds to 1 cup
size change. 200 cc implants would take
you to a D and 300 cc implants would take you to a DD. I always recommend small round textured
silicone gel implants placed retro-pectoral since they look and feel more
natural, are more stable, less likely to ripple or have complications needing
revision. Your breasts are asymmetrical
and your nipples are pointing outward, particularly the left one. I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast Lift™.
Using only a circumareola incision it is possible to reshape your breast
tissue creating upper pole fullness, elevate them higher on the chest wall and
more medial to increase your cleavage.
Through the same incision, implants can be placed. Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant. Implant
profile is irrelevant in the retro-pectoral position since the muscle
compresses it. Small textured implants are
stable retro-pectorally and will not dislocate with competition. Best Wishes,Gary Horndeski, M.D.

Dear trichick,   Thanks for submitting your pictures and you goal picture. From observing your pictures you appear to be a small A cup. The discrepancy between your claim for size and my impression is quite common. So you realy have to be measured by a plastic surgeon. Your goal picture appears to be a C cup. So, you have a misconception on D and DD cup. Another important point is that most of my patients who are runners go for full B cup or small C cup that make it easier to maintaine intense sport activity. For a small C cup you will need implants with volume of 300 cc. Just to help you understand, for a D cup you will need , roughly, 500cc which is way too big for runners. I would also recommend under the muscle placement of the implants which will give you better coverage of the implants, less possibility of capsule contracture and loss of sensation. Always, consult with board certified plastic surgeons and check their before and after to make sure that you like the results.                      Best of luck,                                             Dr Widder

Hi Trichick5, Thank you for the question and the photos. I have a couple comments to help you with your question. 1. Have you already been to a board certified plastic surgeon? Did you try on sizers to help with the decision? 2. Have you done the rice test? Cup sizes in bras are vague and as you probably already know, no two bra manufacturers' bras are the same. 3. I would caution you against the above muscle implant through the nipple. The look is more fake and there is a higher capsular contracture rate ( hard implants due to thick scar capsule around the implant) . I have several patients who compete actively in both physique, and fitness categories with under the muscle implants. One of my patients did full body builder competition before dropping back to physique class and her implants are also under the muscle. 4. For my patients who exercise actively, you need to take enough time out of the gym to heal. This is the hardest task for most patients. They want to run back to the gym. I recommend a MONTH out of the gym then after that, only LIGHT cardio for another month. It's 2 months before you can hit the weights. Healing takes time; there is no short cut, no magic pill, no exceptions. Be patient! Best to you. 

Thank you for the pictures.I will definitely recommend the D cup, this is more suitable for most women who have your body shape.Dr. Campos

Hi there,First thing I would say is dont focus on a cup size. The image you have provided is a good guide, but it is not always possible to lock in a cup size, because it is not a standardised measurement. Computer simulation software such as VECTRA, which many plastic surgeons offer can be helpful in choosing the size of implant.Your surgical aims are all reasonable and appropriate given your hobbies.I would personally steer away from an incision via the nipple. In my opinion it means cutting through breast tissue and if you do happen to get a poor scar, that scar will be in the middle of your breast. A scar under the breast is by far the most common approach and can usually be done via a 4cm scar, particularly with a Keller funnel.All the bestRichard

Over the internet is NOT the best forum. Seek a few IN PERSON opinions. My guess is a D cup at 450 cc would be the answer, I think... 

From what you describe as your goals, I would select the mid range profile implant (that is the Mentor MPP or the Natrelle Style 15) that fits your base width on your chest.  That will give you the most natural look without being "too big" that will fit your frame and your athletic lifestyle.  

First of all, surgery is designed to give a look, not a bra size so make sure you understand the difference. One person's idea of a D is often quite different from the next. Showing your surgeon pictures of what you like is the best form of communication and expecting to wear a certain bra is destined for disappointment. From your photos I would expect you to get an excellent result no matter what size you choose.

First you have very nice natural breast and should be an excellent candidate for breast augmentation.Understand that cup size is an unreliable measurement of breast size because to different stores will label the same bra different cup sizes.The most important thing is to have a consultation with a board certified plastic surgeon and have measurements of your breast and chest made as well as a breast implant sizing system.Your goal should be to choose the breast implant that will give you the shape size and look that you want irregardless of cup size.My guess looking at the photo of your desired shape is that probably an implant in the 350 cc size range was used.Be careful not to go too big since your athletic and will be competing and you do not want very large breast to interfere with her activity.  Also be aware the place the implants beneath the muscle has many advantages for a young person.