Work with your surgeon, and with sizers.

David Reath, MD answers: How do I find the right size for breast augmentation?

I am 1.51m tall and am 28 years old. My current bra size is A. I would like to go for breast implants but would like to know if a full C cup would be fine? It is my dream size! I weigh 47kg as i am very short and petite but have a muscular built and at the moment my arms look too big for my breasts. Please let me know what you think.

Editor's Note: See [weblink:http://www.realself.com/question/how-do-choose-breast-implant-size-right-me|Breast implants - How do I choose the right size?] as this question relates.


David B. Reath, MD
12 months ago

Knowing what size you want to be is something that I spend a lot of time on with women.  But there are a couple of things that should first be understood.  There is no perfect breast size.  Generally there is a range that will look good for any given woman.  Cup size is something we talk about a lot, but this is really quite vague.  What cup size you wear will depend upon the manufacturer of the bra, how you like your bras to fit, padding (not a problem after the operation), and chest size. And your overall body size and body frame must be taken into consideration.

It is important that the implant "fit" your chest and your existing breast tissue.  To determine which implants will work for a particular women, I will take numerous measurements of the breast and chest wall to understand which implants will be good options.  In most cases, we can find an implant the will "fit" the chest in the size that is desired.  Usually this will affect the profile of the implant that I use.

So, how do we determine the right size?  There is really no substitue for working with sizers.  We will put you in a bra, and place different sizers in the bras to simulate how different sized implants will appear.  Frequently we will do this on several occasions, and we encourage women to bring you favorite tops to try on with the sizers.

Depending upon whether the implants will be placed above or below the muscle, we will go up in varying amounts on the implants we use to make sure we get the same result as the sizers chosen.

That you are comfortable with with how you look with the sizers is much more important than what size bra you will eventually wear. We all know that cup size depends on the manufacturer of the bra and the particular style you like.  If you go up in chest size to have your bra fit the way you want it to, you will not go up as much in terms of cup size.  If you buy from one store over another, you will go up more or less in terms of the cup size.  

So, your size is more important than your bra size.

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