This article in the London Daily Mail describes a scenario that is a failure of both doctor & patient education.
In a breezy feauture on sisters with "identical boob jobs" a 39 year old, 'Louise' is described as gleefully going from a 36B to a 36DD after augmentation. Louise describes her sensitivity over years of teasing by her friends and after deciding on surgery says "I decided to go for a 36DD - perfect for my frame - with silicone implants. I'm 5ft 6in and a size 12". It sounds like Louise has internalized an image common among breast augmentation candidates that the "average" womens breasts are larger then they are.
Bad idea. You can not achieve that increase from a B cup to a DD cup without aggresively violating her native breast boundry and placing 500-600cc implants. There is NO way that her tissue is going to support that for long. She's going to end up with knockers to her to her knees in 3-5 years with a difficult reoperative surgery required if she wishes something to resemble an aesthetic breast shape.
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