Very Small Frame - How Fake Will It Look Like To Go From An A Cup To A DD Cup?

Hello Patty123,

I see that you are still interested in large, high profile implants over the muscle.  I wanted to reach out to you again because I feel you will be sorry later.  I understand that you are willing to look unnatural, but there are many more issues that will come up if you go forward.

When I see a new patient that comes to me for consultation after having large, high profile, subglandular implants, they usually complain that their rippling is so bad that they cannot show any part of their breast in public, and many can't show their breasts to their sex partners. They look great fully covered in clothes, but they can't even wear a low cut top or dress anymore.

Many of their problems are unfixable too.  Large, high profile implants actually cause depressions in the curvature of your ribcage, so that when you lie on your back and the implants drift to the side, you have these dents on either side of your sternum.

I think that there is a prevalent misconception that a woman can choose any size bra size she wants and have a breast augmentation to achieve that goal.  It's just not true, and so many who try end up having one or more re-operations trying to fix problems that occured by trying to obtain that bra size.

I hope you reconsider and I wish you the best of luck in all your endeavors!

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 in person with 3 experienced and expert board certified plastic surgeons to understand your options.

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

You are tall and it sounds like you are very thin.  I'm not sure the size implants suggested will bring you from an A to DD but it may be the largest size your doctor feels your frame can accommodate.  I would check with your doctor.

I do not like discussing cup size because it is not accurate.  Realistically, there is only so much that can be performed at one time in the operating room in regards to the size of implant that can be placed SAFELY.

Clear communication with your plastic surgeon is important in achieving the desired goals of the patient.  I like to communicate with patients with “goal” pictures.  During surgery, I use temporary sizers to determine the size/profile that will give the patient the look she is looking for. Trying to predict the size of the implant preoperatively is not ideal.  I think it is too much responsibility for the patient to choose the size of the implant.  Ideally, the surgeon would make that determination once he/she is in the operating room with sizers in and examining the patient in the upright and supine position.  There are many variables that come into play when choosing the correct implant size (how much breast tissue the patient currently has, the shape of the chest wall (concave vs. convex), etc.. 

You should know the potential risks of the larger augmentation and if you understand those risks and choose to proceed, make sure your surgeon has experience in this area.