What size and profile do I need to go from A32 to an small D? (photos)

If you've been to a couple of doctors then you recognize that not everyone does things the same.  Since I'm sure you have been given similar information by several doctors, there's no need to give you that same information, so I'll break ranks and give you what I think is probably totally different information than you have heard from any other doctors.First, the only way for you to feel confident with what implant you need is for you to feel confident with what you have seen in the mirror. Don't get confused with profile names etc, because when it all boils down your final result is based on the SIZE you choose, and the profile is merely a description of how the doctor is getting that size to fit on your frame.  The larger the size, the greater the chance you will have of "looking big all over" or having "balls on your chest". If that is the look you are after, then actually smaller (in ALL dimensions) will be better for you.Lastly, I'm concerned with your base measurement of 13 cm.  I've been doing this a very long time, and I both recognize and admit that I have a very different approach and perspective than any other surgeon that I am aware of. But that measurement alone will almost completely assure you of "looking big all over" or having "balls on your chest".  It will also tend to make you look chubby and add weight to your appearance.  I've seen it time after time after time when women ask me to correct those exact concerns from previous bad operative experiences. If you want to avoid those descriptions then you need to see someone that will measure what I consider the "true" dimension of your breast, and not just measure 1/2 the width of your chest.If you want more information you can download my free breast augmentation planner at aBetterBreast.comBest of luck to you!

It's important to know what size bra you currently wear. Is it a 32, 34, 36 bra, and, of course, the cup size. The strap size is important to know because that affects the diameter of the cup and subsequently the diameter of the breast implant that we choose. We also need to know your height, your weight, and it's helpful to know your dress size as well.  In addition, it would be very helpful if you include photos of yourself. A front view, a side view, and a three-quarter view are most helpful. This will let us see if there are any breast asymmetries, if the breasts are narrow, if the breasts are wide, what your chest wall looks like, and this will also help us make a decision as to the best size breast implant for you.  In my experience in general, if a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc.  This is a general number, and of course there are other factors that will affect this. For example, if she has a chest wall issue where the chest is slightly sunken, this is called a pectus deformity, then she would require a little bit more volume to first bring her chest to a level position and then move forward to the projection of a C cup. This may require implants of about 50cc more. It's important to examine the patient and have complete information to make this decision.  breast implant size1.   32 a   to 32 c   needs about 250-275 cc2.   34a    to 34c     needs about 300-350 cc3.   36a    to 36 c     needs about 350-400 cc4.   You will be a double dd or larger  with 400 Your doctor will work with you to choose the best implant #shape and #implantprofile based on your goals and measurements.  In my practice, about 15-20% of the patients are good candidates for silicone #shapedimplants.  The profile is determined by the amount of projection versus roundness that the patient desires, as well as the size of the implant and size of her chest. The profiles are usually described as high, moderate plus and moderate.

Thank you for your question and photos. The implant range that I would recommend for you to get to your goal of small D would be high profile 400-475cc silicone implant. These implants will fit your base diameter perfectly. Good luck. DrMaz