I want to go from an A to D cup and still look natural. (Photo)

At
size 34 A each 100 cc’s of implant corresponds to 1 cup size change. To go from an A to a D would require 300 cc
implants. In your photograph your
breasts are too low and you would benefit from a simultaneous lift using a new
technique called Breast Augmentation with Mini Ultimate Breast LiftTM. A circumareola incision is used to reshape
your breast tissue creating upper pole fullness, elevate them higher on the
chest wall and more medial to increase your cleavage. Through the same incision, implants can be
placed. Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant. Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision. Best Wishes,Gary Horndeski, M.D.

In order to get an idea of how the breasts will look after a breast augmentation, I have my patients place samples of different implants into their bra.  This way, they get a general idea of how their breasts will appear after the augmentation.  I also show them different photos of women who have had an augmentation with the various sizes and shapes.  Good luck!Dr. SchreiberBaltimore Plastic Surgeon

There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.I hope this helps. Good luck!

The best thing is my opinion is to look at the doctors before and after pictures to find a body similar to yours. Then see what the implant looks like. The high profile is a less natural look. Good Luck!

Dear lil,  Thanks for submitting your picture. In order to obtain consistently natural looking breasts with the size that you desire there are few steps that need to be taken : 1. measurements are critical. In your case, assuming that you are 34 A, in order for you to be a 34 small D you will need roughly  425cc. If you are a 34 small A, than you will need a bigger implant. 2. Meticulous dissection, so that you get nice cleavage and enough room for the implants to move. Moderate profile implants are the only ones used in my surgery center and they do not come out excessively because it is the surgeon who determined with his dissection , how much the implants come out. Also,  usually the crease has to be lowered for the breast to look perky. 3. Displacement massage training to avoid hardening and unnatural look. Consult with experienced board certified plastic surgeons who are familiar with the measurements method. Check the before and after pictures to make sure that you like the results.                  Best of luck,                                          Dr Widder

Thanks for your question and Photograph.Everyone generally wants to look as natural as possible. Here is some general thinking that I share with my patients.Don't think about the cc number of an implant but think about how it fits your frame overall.Think hips more than breast- an implant that is too narrow will look like a torpedo, an implant that is too wide will look top heavy. Seek a width that balances and compliments  the curve of your hips.Consider your overall height. A tall woman can carry a larger implant and look more believable than a shorter woman.Think about the starting amount of breast tissue you have. A woman with a B or more will have more natural tissue on top of the implant and look more natural than someone who starts with minimal breast tissue.Under the muscle looks more natural than over the muscle because the muscle draping over the top of the implant softens the transition from the chest wall to the breast.Silicone implants tend to look more natural than saline.I keep implant sizers in my office. I have my patients try on actual implants to help see how they look on their own frame. I think this exercise would be helpful for you. Ask your surgeon to try on actual implant sizers. Bring different shirts and even a friend for a second opinion.Hope this helps.

I consider two factors when selecting implants for my patients:1.Dimensional planning2.Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Best wishes,Dr. Basu

To best help you, a better quality picture would have to be evaluated in order to determine which size, techniques and procedures would be best for your case.

In a bra posted photo does not help us determine size. My guess is 400 cc HP +++ But only in person examination allows a better determination..//

In regards to breast implant size/profile that will best help achieve your goals, I think it will be in your best interest to spend more time with your plastic surgeon. Careful measurements, dimensional planning, and careful communication will be key.
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're 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 which operation and/or 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. I have found that the use of words such as “natural” or "small D cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
The use of computer imaging may also be helpful during this communication process.
Regardless of what you might hear, there is no reliable correlation between volume of breast implant used and increase in breast size achieved.
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.
I hope this, and the attached link, helps.