"I was barely a double A cup. I just really didn't feel feminine at all," said Karp, who was 17 when she and her older sister both had their breasts enlarged.
Their mother, Caroline Karp, said the physical change has sparked an emotional transformation. "It has definitely changed their self-esteem," she said. "They feel much better about themselves."
Clemons was looking forward to a similar metamorphosis as she was wheeled into surgery, having instructed her doctor to make her breasts big enough to fill a voluptuous C-cup size bra. That morning, she faced the mirror and said her final goodbyes to her old image.
"I was like, 'Goodbye, old body,'" she said.
After the surgery, she said she was in pain but was certain she'd be happy in the end.
"It feels like somebody's been throwing bricks at my breasts," Clemons said. "The pain won't last forever. So I do think it will be worth it."