Ivanka Trump had no problem getting permission for breast implants / any type of plastic surgery. Donald Trump is infamous for his toupee / openness to cosmetic surgery. Ivanka Trump is beautiful to begin with, but her boob job really brought her career to the next level. She didn't hold back on increasing her breast size. She went from a small B cup to a dominate D. Wow, her breast size is incredibly larger after plastic surgery.
Notice the saline / silicone is bouncing around in her right breast. When your boobs are that big that's to be expected.
Again, the saline / silicon from the breast implants is disproportional. This may have been permanent and required revision breast implants to correct.