34B/ 32C - Want to Be Large D. How Many CCs Do I Need?

I am 24 y/o, 115 lbs 2 children, both were bf for over 6 mos

Doctor Answers (6)

There's an app for that!

+2

Every doctor has his/her own way of determining the right volume implant to use to get you to the cup size you want to be.  Still, no one can guarantee a cup size because bra manufacturers do not have standard cup sizes.  Also, if you find a hundred different before/after pictures of patients on the internet who are your basic height, weight, and body frame, they may all have different sized implants and they may all look good.  It is not like putting bumpers on Chevrolets!  There is one helpful technique for determining size that you can do in your own home if you or a friend has an iPhone.  There is a FREE app called iAugment where you can take a picture of yourself in a bra or swimsuit top and use video imaging on the iPhone to virtually "try on" different sized implants to see how they will look on your frame.  It is easy to do and can also be a fun party game!!


Atlanta Plastic Surgeon
4.5 out of 5 stars 11 reviews

Breast implant sizing

+1

Much of the final “look” achieved after breast augmentation surgery  depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.
3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

Implant selection

+1

I consider two factors when selecting implants for my patients:

1. Dimensional planning

2. Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.

This way your preferences are known and we can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 124 reviews

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Exam is necessary to help choose implant size.

+1

It is impossible to advise you which size to choose based on your information you provided. 

Size is a complex decision that is not only based upon your height, weight and current cup/bra size but ALSO on also on your breast diameter, waist, shoulder, and skin envelope measurements. These can only be assessed in person during a consultation. A good place to start is using my "Find your perfect size" tool listed in the left hand column of my bodysculptor.com home page. Another good place to look is the searchable database section of the physicians' photos on implantinfo.com. Best of luck.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Size selection

+1

You need to go into your board certified plastic surgeon's office and use the sizers in his office in a bra and see which size seems right for you.  There's really no other way of telling what you want to look like.

Best Wishes

Ricardo A. Meade, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 60 reviews

Implant choices

+1

Without a formal exam it is difficult to say what volume of implant would be best for you.  You can get an idea by doing a baggy test and seeing what you like.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.