Currently small deflated 32c, 5’6, 118lbs .. wondering what size implants to get to get me to a 32dd? (Photo)

Dear cl520,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

One of the easiest ways to determine whether the recommended size will achieve your desired result is to try on sizers. These are implants you can fit into your bra. Just make sure to bring a bra in the size you’d like to be.

Breast implant sizing can be tricky as it is based on several different measurements. I am not sure that a moderate profile implant will give you the result that you posted. The classic ration is 130-150cc/cup size increase. So a 375cc implant would take you up 2-3 cup sizes on average. A high profile implant can also be used. Unfortunately, there is no way to guarantee an exact cup size, but the use of 3D imaging can be useful to see different implants on your frame.

Will 375cc Get You to a 32DD?
Short answer: Very likely yes, especially on your petite frame.

A 375cc implant on a lean frame (under 120 pounds) typically translates to a 2–2.5 cup size increase.
A current deflated 32C moving to 32DD (or even DDD in some bras) with 375cc is realistic.
Moderate profile gives a broader base and more natural slope, which is better for covering your frame, especially if you have a slightly wider breast base (12.5 cm).

If your goal is to achieve a natural, full DD look on a small frame, a 375cc moderate profile is a very solid and safe choice — not too small, not too overfilled. Many patients worry pre-op that they’re going too small, but in your case, the balance looks just right.

That said, if you're unsure, ask your surgeon during your sizing session to try sizers at 375cc and 400cc. The 25cc difference is minor (about 1–1.5 tablespoons), but on a narrow frame, even 25cc can look more noticeable than expected.

The key here is to look at the starting ingredients- you have a small frame with fairly narrow base width of the breasts, and you already have well developed breast tissue. In your case, 250 cc implants would likely give you the desired result. Best wishes with a happy recovery.

Each manufacturer makes several different profiles (heights and widths) of implants. When you have a narrow chest, we can use a less wide but more projecting implant to still be able to get the volume you desire. Its also important to understand that there is no definite way to know your bra size post-op. Using your goal photos, measurements, and existing breast tissue can help guide your surgeon to the right implant. Speak with your board certified plastic surgeon about the different implants available to use.

Thank you for your question and photos! I think that 375cc mod plus breast implants would complement your frame nicely and be equivalent to a 32D cup. I recommend that you discuss all of your concerns prior to surgery to make sure you get the results you want. Best of luck!

Thanks for your question! I would be very careful not to try and go too large on a primary surgery. I can't fully appreciate it in these photos, but it looks like you may have a small pectus excavatum. If that's the case, going too wide with an implant can create new issues. Best of luck!

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Very important part of preoperative consultation(s) is implant sizing. Different tools are available, including silicone sizers, 3D simulation, etc.; patient desires as well as anatomical limits of the chest wall and skin envelope need to be carefully calculated. Based on these photos, I would suggest range of 300-350ml, moderate to moderate plus profile. Hope this helps.