I'm 4'11", 90 Lbs, and Wear 32A Bra. Are 270 Cc's Enough to Give Me a Nice Full "C" Look?

I'm 4'11", 90 lbs, and wear 32A bra. Are 270 cc's enough to give me a nice full "C" look. I will be going under the muscle. I want my implants to look good on my frame, but I'm also worried about going to small and wishing I went bigger. I don't want to look too big for my frame, but for the money I'm spending I do want to notice a difference. I want to fill out my tops better and have something to show off in a bikini top. The idea is to look good and classy, not trashy. Any advice? Thanks.

Doctor Answers (16)

Breast implant size

+2

You are quite petite and thin and I would not go too big on you, but 270cc may not give you the full C look. Also silicone would be more appropriate and give you less chance of gaving wrinkling and rippling.  Just make sure you and your surgeon are on the same page as far as what you are looking for and desire.


Jacksonville Plastic Surgeon
5.0 out of 5 stars 38 reviews

Full C Breast Augmentation

+1
Deciding on which implant to use is always a difficult decision for women. The benefit is that in this day and age is that there are so many choices of implants that the augmentation can be tailored to each patient.

Number one you have a good shape to your breast to begin with and you will have a phenomenal result with your breast augmentation.

Truly the best thing that you can do is be open with your surgeon about your desired results so they can help guide you in choosing the best implant for you.

I would spend time trying on various implants in your surgeons office and don’t be afraid to do this more than once. Also bring your surgeon pictures of what you want to look like after your procedure. This will make sure that you and your surgeon are on the same page about your implant desires.

Patients can confuse their decision by trying to be a specific cup size, which is good as a starting point, but really the best thing you can do in deciding on a size is trying implants in your plastic surgeon’s office.

270cc breast implant is on the smaller size and may not get you to a cup once the swelling subsides. The benefit of the silicone implants is that patients can place a slightly larger implant and still look natural. The silicone implants are much softer in feel and appearance than the saline implants. You would have to go with a very large implant to have a round fake look after your augmentation.

In terms of the profile of the implant, I typically decide on the volume of the augmentation first and then use the various profiles to match the breast width of the patient. This will keep the implant from being too wide, but still give patients the medial fullness that most patients desire.

It is important to see your board certified plastic surgeon to help guide you to an implant that will give you an aesthetically pleasing breast.

Johnny Franco, MD
Miami Plastic Surgeon
5.0 out of 5 stars 15 reviews

Implant sizing

+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. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

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 you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.

Best wishes,

Dr. Basu

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

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Implant Selection Process

+1

You may require a little more volume to reach a full C. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 39 reviews

Breast implant sizing/type

+1

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 press 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 vs breast size

+1

The volume 270cc seems like an appropriate size for a woman of your size.  However, the implants do come in various projections and diameters, which can change appearance.  Also the amount of breast tissue you begin with will play a role in the final size and shape.  Your surgeon may have sample sizes to try on and get an idea of projection.  Good luck.

Rodger Wade Pielet, MD (in memoriam)
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Try implants in a bra

+1

I have found one of the best ways to get the right cup size is to try temporary sizer implants on in a bra. That will give you a very good idea of what the final cup size will be.

John Squires, MD
Denver Plastic Surgeon
5.0 out of 5 stars 51 reviews

Implant choice

+1

Am exam is worth a million words.  Without the exam it is difficult to say what would be best for you. You also looke like you have a bit of a sag on the left side and may need a circumareola lift on that side.  Choosing the right implants for you is a long discussion in the office. 

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

Implant size to get a "Full C"

+1

Bra sizes are confusing. More often than not, a woman is not wearing a correctly fitted bra, doesn't know her bra size, or doesn't know how a bra is fitted.

Cup size is dependent on the "number" part of the bra size... a D cup in a 34 bra is a different size from a 42 bra.

That being said, bra manufacturers are not held to any uniform standards when it comes to cup size and shape... that is why one brand of bra might fit you very well for a given size, but not another brand. Or, you wear a 34D in a Victoria's Secret bra, and a 34C in another brand, for example.

When discussing breast size after augmentation, outward projection can be further determined by the "profile" of the implant. High school geometry: Height (projection) times Width (base width). A Higher Profile implant will give you a larger cup size for less volume than a Moderate Profile implant.

Furthermore, a saline implant looks bigger than a silicone implant of the same volume. That is because a saline implant is more oval (round on both top and base), while a silicone implant is flat on the base.

Some plastic surgery books have proposed the following parameters for breast augmentation:

  • 32 bra: 100-200 ml per cup size
  • 34 bra: 150-250 ml per cup size
  • 36 bra: 200-300 ml per cup size
  • 38 bra: 250-350 ml per cup size 

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon
5.0 out of 5 stars 20 reviews

Your surgeon has picked the right size for you

+1
You have very limited amount of breast tissue to cover the implant and give you good result. You concerns about the size should be balanced with the concerns about the long term result and beauty of the final result. 270 is a good balance

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 59 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.