What size/profile to go from 32C to 32DD? (Photo)

Choosing the right size and shape implant depends on any number of factors all of which require an in person exam. I would suggest that you schedule a consultation with a board certified plastic surgeon in your area (link below) to discuss the best option for you. However, keep in mind that cup size is never a good indicator of actual breast volume. It is always best to focus on the "look" you want to achieve. Best of luck, Dr. Nazarian

The best way to achieve this is not to go too large and place the implants underneath the muscle.  You have done both.  You can go smaller. You can also look at a anatomic implant which is fuller at the bottom and narrow on top. Good luck.

Thanks for your question.  Unfortunately there is no good correlation between implant size and bra size.  There are too many variables like the pre-existing breast tissue, implant shape, and even the bra manufacturer.  You are better off seeking a consultation with a surgeon who can base your choice on your breast characteristics, and techniques like trying on sizers, 3D imaging, and before/after photos.

Hello,Thank you for your question and photos. Unless You are into major upper body building you should be fine to have your implants placed under the muscle if you wish. I have many patients who are fitness models and quite active. Your most proportionate implant size options will be determined by your measurements. I recommend that you book a consultation with a board certified Plastic Surgeon to discuss your expectations and options. My patients find it helpful to try on the implant sizers with their clothing in order to get a feel for them.All the best

Thank you for your question and photos.  Keep in mind that it is nearly impossible to predict cup size prior to surgery.  The first step that you should take is to be seen in person by a board certified plastic surgeon and clearly voice your surgical goals to him/her.  You should be able to "try on" different implants to get a good idea of what would look best for you.  If you are not interested in getting a fake look, it is unlikely that a high profile implant would be in your best interest as this gives a more "augmented" look.All the best,Dr. ResultsMiami, FL

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.

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

Selecting the right implant is sometimes confusing for patients because there are so many options and choices to pick from.  However, with the assistance of a board certified plastic surgeon, you can narrow down the options quickly to find an implant that will fit your body.The basic principles of implant selection involve finding an implant that fits within the boundaries of the breast.  When selecting a size and a profile, the implant needs to fill the breast without over stretching. Over-stretching the skin is what ultimately leads to long term problems and can easily create a "fake" look.During your consultation, your surgeon should review the options with you and help you figured out the correct size so you can achieve your aesthetic goals.Good luck!

to help you decide on what size will work best for you.  This has been found to be very accurate in my practice as I've polled my patients post-op about how close they felt their sizing was to their final result.  Unlined bras and adding 10% to the size you like is what my 'formula' is.As for over or under the muscle, if you aren't a serious body builder, you are giving up many advantages of going submuscular when going over the muscle.  And implant position has absolutely nothing to do with softness.  Going on top of the muscle usually leads to the rock in the sock look down the road if your implants are good sized.If you're going over the muscle, you need to consider having shaped implants to help diminish your increased risks for capsular contracture.  I hope they did not forget to mention that to you during your consultation as some surgeon conveniently forget to mention that when pushing their preference for above the muscle placement.

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: Your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breastdimensions which include the width, height, and projection, as
well as chest wall width all need to be considered when choosing an implant.
Trying on implant “sizers” of various shapes and volumes while wearing a tight
t-shirt, bra, or bathing sit at a preoperative visit will help you and your
surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra
industry. The cups of a 32 DD and a 36 DD are significantly different. Cup size
varies from manufacturer to manufacturer and even within styles from any
particular manufacturer. Nor is there a direct correlation between implant
shape or size and cup size.

Keep in mind that following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do without examining
you, physically feeling the tissue, assessing your desired outcome, taking a
full medical history, and discussing the pros and cons of each operative
procedure would not be in your best interest. I would suggest that your plastic
surgeon be certified by the American Board of Plastic Surgery and ideally a
member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  I also think that your goal photographs are realistic. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. 

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this (and the attached link, dedicated to larger breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.