I'm 5'1, 200lbs & wearing 34b/36A bra. Are 450cc implants (high profile under the muscle) enough to get me a full D cup? (Photo)

Whilst it is nice to have larger boobs, it is equally important for them
to look as natural as possible. As a general rule, the larger the
implant, the harder it is to hide them. The volume of the implant is
dictated by your breast base diameter. Ideally your implant should be
placed within the confines of your breast base to give you a naturally
augmented result. One should also take in to
account the weight of the implants. The larger the implants, the
heavier they will be and this can have adverse effects on your breast
envelope. The breast can end up being droopy with a stretched skin
envelope in future if the implants are heavy. This may necessitate
reducing the volume of the implant and doing a breast uplift procedure
in future.Looking at your pictures you do not appear to have a very wide chest and I think that 450cc implant is quite big for you and you will probably end up with more than a D cup. Having said this, cup sizes vary widely between different manufacturers, the type of bra used and your band width. As you have said yourself, you are either a 34B or 36A at the moment... similarly following augmentation you could be a 34DD or 36D ie., your cup size increases as your band with increases and a breast that fills up a 'D' cup in a smaller band width bra may only fill up a 'C' cup in a bigger band width bra.

It is difficult if not impossible to accurately predict cup size for a given volume implant.  This is simply because the cup size depends largely on particulars of your anatomy and cup sizes vary from manufacturer to manufacturer.  Try instead to focus on the look you are trying to achieve.  Bring goal photos to your surgeon.  I also use bra sizers and 3D imaging in my practice to help patients through the process.  Finally, in looking at your photos, you will likely benefit from a breast lift to improve the position of your nipples.  All of this would be discussed after a more thorough discussion of your goals and an in-person examination.  Good luck!

I appreciate your question.

It depends on your chest wall
measurements and existing breast tissue as implant size does not accurately
correlate to a bra size. It also depends on the brand and style of bra
you wear as size varies from manufacturer to manufacturer.Also, from your photo, it appears that you would benefit from a breast lift.  A breast lift would reposition your nipples and reshape your breasts, giving them a more youthful appearance.

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. SchwartzBoard
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon