Q: Dr. Eppley, I am interested in breast augmentation. I want to get bigger fuller breasts, preferably a full C cup. I am attaching some pictures of my breasts for imaging to see how I would look.
A: Thank you for sending your pictures. While I can see why you desire breast augmentation, you appear also to have some significant breast sagging. That is partially camouflaged because you have your arms raised. That makes the breasts look less saggy than they actually are. You need to send me some additional pictures with your arms down at your side with a view from not only the front but also from the side. This is important because I suspect you will need some form of a breast lift with your implants, even if it is just a nipple or circumareolar type lift.
Trying to computer image breasts in an effort to see what final size a patient wants is interesting and even entertaining, but not really valuable from a surgical planning standpoint. It is fraught with distortion problems and ideally requires a small breast with a centrally located nipple with no breast sagging. In trying to help your plastic surgeon choose your desired breast size, it is just as helpful if not more so to show images of other breast augmentation results that have the desired breast size look. Choosing breast size is really about getting a look, not necessarily a specific cup size or implant volume.
Dr. Barry Eppley