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

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.