I'm 5'7" 133 lbs 34b possibly small c... Considering 485cc silicone ... Would that bring me to size D? Please help.

An in-office consultation is the best way to answer your question with more certainty.Based on your information, you are at a very good weight and your breast measurements 34B-small C are quite typical. If you are looking to be in the D cup range most likely implants in the range of 450+ cc should be plenty large to achieve a D cup result.You should consult with a plastic surgeon in person to answer all of your questions and help you to achieve your goal.

At size 34 B each 100 cc’s of implant corresponds to 1 cup size change. 200 cc implants would take you up to a size D. It is unlikely that 485 cc implants would fit retro-pectoral, would extrude inferiorly and laterally requiring revision. I always recommend small silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision.

Best Wishes,

Gary Horndeski, M.D.

Thank you for the question. Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.





2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 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 or D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging technology may also be helpful during this communication phase.




3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery.


I hope this (and the attached link) help.