Choosing Breast Implant Size

Raffy Karamanoukian, MD answers: How much cc is needed to achieve full C breasts?

I am 31 years old, 5'4 & 145 pounds. I have had 1 singleton pregnancy and twins; I breast fed all three. I wear a 36B, however, the B cup is not filled out in the top part of the bra--it's a little loose. I am getting smooth, round, moderate plus profile silicone implants. I would like to be a full C, but I don't want to look fat or too big. I have been told 370, 450, & 500 by 3 different docs. Based on my pictures, what cc would you recommend?


Raffy Karamanoukian, MD
19 days ago

It is very difficult to equate the size of implants needed by purely quantitative factors such as your height, weight, and current breast size.  All implants will create a volumetric increase in size, but the aesthetic improvement is more important than the quantitative improvement. I begin my discussions by having patients come to my clinic with a plain white, tight shirt and a sportsbra and have them try on different size implants to determine the range of sizes.  I then use that range in surgery to determine the most appropriate aesthetic match.

The final point is whether you are still swollen post pregnancy and breast feeding, as this volume may dissipate within months.

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