I Have Small 34B Breasts, Can I Go to 34D Breasts Without Looking Too Fake? (photo)

Thank you for your question. When a patient mentions natural looking, they are normally referring to the upper pole fullness of the breast after breast augmentation. There are two considerations with breast augmentation as far as implant selection goes. Shaped implants and lower profile implants will decrease the amount of upper pole fullness compared to the higher profile round implants. In addition, size will increase the entire breast, so a very large size will fill out the upper portion of the breast to a greater degree than a smaller size.
I would recommend visiting with a board certified plastic surgeon in your area to discuss your concerns in more detail and try some external sizers to get a feel and visual of what you will look like.

Breast implants naturally give more fullness to the upper pole of the breast.  A submuscular placement adds to this fullness.  There is no exact right number of cc’s to use since  every body is different and everyone’s desires and what they see is different.  Typically somewhere between 275 cc and 400 cc is needed to provide adequate shape and fullness, but this will vary depending upon the body type. Be sure to discuss your desires and possible outcomes with your surgeon. Implant sizers and looking at a 3 dimensional image of your body with implants often helps.

A great breast augmentation surgeon will be able to help you achieve larger breasts, without making them look incredibly fake. You should consult in person with a board certified plastic surgeon so he/she can examine you in person and then provide you with implant sizers to try on to get an idea of how different cc's will look on your frame. Together you can decided the best type of implant to give you the more natural looking results you want. 

Great question - what looks fake to you may be very different from what I think looks fake.  Best to try on implants in a bra - in the office  - and to use this metric to determine what you like best - and what you find most attractive...  Do not worry what I think looks fake - let's find a size that YOU find most attractive-  that is most important!  Best of luck.

You certainly can achieve a fairly natural but augmented look but will need to place the implants under the muscle to keep hints natural at that size as you are very slim in the upper chest

It’s virtually impossible to answer this question without a
consultation and physical examination for a variety of reasons. When choosing breast implants for breast augmentation,
we’re not interested in implant size but instead, we’re interested in the
appropriate implant fit.I want to
achieve harmony, balance and proportion with the surrounding anatomic
structures.Terminology
is also important.I find that not everyone’s
idea of a D-cup is the same and this potentially, can lead to confusion as
well. The
best approach to resolve this issue is consultation with a board certified
plastic surgeon.In an effort to
minimize confusion, I utilize both implant sizers and the 3D Vectra Computer
imaging system.These two systems help
the surgeon understand the patient’s aesthetic goals.They also significantly alleviate the anxiety
that many patients experience regarding breast implant size.

This all depends on a variety of measurements of your original, pre-surgery body contour and your desired outcome. A variety of variables are considered, including your height, weight, breast width, breast height, distance between nipple and breast fold, as well as your desired cup size to determine the most suitable implant size, type and specific surgical technique. Based on all of these measurements, you can then determine how many cc's would look natural, or unnatural. Best of luck!

At size 34 each 100 cc's of implant corresponds to 1 cup size change.  I would recommend 200 cc implants to take you from a 34 B to a 34 D.  However, your breasts are too far apart.  To look like the model shown you will need 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 cleavage.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall will give maximum anterior projection with a minimal size implant.  Implants alone will not achieve the model look you desire.

Best Wishes,

Gary Horndeski, M.D.

I don't think D cup will look unnatural all because of size. Fake looking breasts are usually that way because of capsular contracture not because the final volume.

Any discussion about which volume to use is a discussion best held with a plastic surgeon who can examine you in person.  Every doctor has his/her own technique for determining which volume to use in order to put you in the ballpark of the cup size that you want to achieve.  Your doctor can also discuss the various implant shapes and contours.  I might suggest getting two or three consultations so that you can get differing perspectives from different plastic surgeons.