A well-augmented breast has the patient’s desired fullness and a soft sloping upper pole. There are three main signs of poor breast augmentation mammoplasties : Breast implant margin: This should be soft and imperceptible , without the visibility of the implant edge . Lift : An augmented breast that is too perky will tend to look fake; as a small amount of laxity is natural. When a patient lies on her back, the breast implants should roll to the side like natural breast tissue. Breast implants size: An implant that is too large for a small frame is usually an obvious indication that a patient has had a breast augmentation mammoplasty surgery. Women wanting to go from an A cup to a full D cup need to have an understanding of skin quality and restrictions. i.e – collagen loss, laxity, weight loss and/or pregnancy.