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

I am 5'4 117 lbs 19 years old with one child. I want to have round breasts, but not so round they are fake looking, i want them to be big too, but not so big they look bad on my small frame. i am a small 34B/full 34A depending on the bra. how many CC's or how large can i go without looking incredibly fake?

Doctor Answers 22

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

Thanks for you question and for the posted photos. I think you questions will be best answered in the setting of an in person consulation. 

I do note that your breasts are rather widely separated, and that may well be more noticeable with implants. 

As a rule, the more implant and less breast tissue, the less natural the outcome. I would not recommend an increase as large as you would like if looking natural is important. Implant size would depend upon, among other things, measurements that would be taken at your consultation. At that time, your questions can best be answered.

All the best. 

Implants without looking fake

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.

Choosing implants

Thank you for the question. As I stress with my patients, the choice of implant size and type would best be done through an in-person examination. There are a lot of factors that can affect your choice like the desired end result, breast tissue, body measurements, and the like. Bra sizes can be better determined once all of these information have been gathered. It would always be best to visit your board-certified plastic surgeon and get a full evaluation for your concerns. Best of luck, Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 24 reviews

Breast aims

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

Andrew L. Greensmith, MBChB, FRACS
Melbourne Plastic Surgeon
5.0 out of 5 stars 7 reviews

Find a surgeon with imaging technology--then decide for yourself.

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.

Natural Looking Breast Implants

The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body. Consult with 3 experienced and expert board certified plastic surgeons to understand your objectives.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 32 reviews

You Have To Take a Variety of Measurements First

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!

Implant Selection Process

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 75 reviews

Reshape and reposition required to achieve the desired look

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.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.5 out of 5 stars 193 reviews

Choosing a breast size and look

Here are some general issues to consider from my perspective and experience:

I strongly disagree with Dr. Hayhurst's response. Your bra size in terms of the chest size (34) should not change. Only the cup size within that chest size should change. I also find external sizers to be very misleading in terms of deciding actual implant volume needed and the expected look and result. 

The maximum size increase with a properly fitted high profile implant would be 2 cup sizes. If you are a small B then this would be a small D in the same 34 in. chest. By definition, D cup breasts are out of proportion. They can still look "natural" and the patient may be happy with them but they are out of proportion - A, B, and C cup size breasts are the normal range. 

The way to size an implant and know that it will fit and look natural (assuming it's properly positioned and healed there) is to make sure the diameter of the implant is about 3/4 to 1 cm less than the upright diameter of your breast across the center and with arms down. This diameter is then looked up in a high profile (saline-filled or gel-filled) and the number of cc's is found -- don't start with the number of cc's and work backwards. 

An implant is just a pillow of volume. It does not change the basic characteristics of the breast and specifically does not move them closer together, change the axis of the nipple-areola, or lift them. Your breasts are normal but are a bit wide apart and the axis of the nipple-areolas is not forward pointing. This will not change with a properly done augmentation. One cannot "choose" a look or style of breast. It should look like your breast with its characteristics about 2 cup sizes larger. 


Scott L. Replogle, MD
Boulder Plastic Surgeon
4.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.