425cc moderate plus silicone implant? For a full DD cup? (Photos)

Hello,Before making decisions about what you think you may want, you should visit a few ABPS certified/ASAPS member surgeons expert in all types of cosmetic breast surgery. You should know that there is no way to guarantee or estimate cup size based on implant volume. It's really not a good way of deciding your aesthetic goal anyway.  Additionally, subjective terms like 'obvious or overly big' may mean one thing to you, and another to a surgeon. Instead, focus on how you'll look in the mirror with sizers. This will give the surgeon the best information possible about your goals. Best of luck.

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Thank you for your pictures and your questions. This is a very common question on RealSelf and you are likely to get a large number of the standard canned responses from the heavy hitters on here. Let me see if I can offer you some specific advice for your case. The implant that is right for you depends on not only your measurements but also your desires. One thing I would caution you about is the size choice you are making. If you are truly currently a 34D and you want to be a DD cup, then that would be a one cup size transition. Although cup sizing is not exact, I usually advise patients that about 150-200cc is roughly one cup size, so at 425cc, you are looking to go up by between 2-3 cup sizes. This is going to put you at around a 34E or perhaps even larger. Now if this is the look you are going for, then I think this could possibly be a reasonable choice for you and I think that based on your pictures, you stand to have good results from augmentation. Just make sure that you choose an implant that is not wider than you base width and make sure that you understand the change in size. It would be advisable at your consultation to try on the size you are considering and see if this is what you are ready for. I would also advise you to check some of your expectations and your decisions and be open to the discussion of what would work best for you in the hands of your chosen board certified plastic surgeon. Trust in his or her expertise and consider multiple consultations before making your decision.Best of luck!