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?

Doctor Answers 19

Implant size

This is all discussed in consultation and after a thorough exam. Measurement are taken and sizes are determined at that time. I send patients home with an approximate volume that they should try out at home.  If they want more or less they tell me. If it is within reason, then we go forward.

New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Choice of implants for a C cup

I don't have the benefit of your dimensional measurements but you do have a fullness in the muscles in your chest and the type of body that tends to look big quickly. Also at 5'4", you will look bigger quicker. I would say that the 450 and 500 implants would look very big on you for sure! I would also recommend a periareolar lift to elevate your low nipples and reduce the areolar diameter a bit. Check the photos on my web site.


Which it could be that easy. It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 76 reviews

Use 3D Imaging To Determine Size Of Implant

The question of breast implant size is always difficult for prospective breast augmentation patients.In this case, it’s virtually impossible to answer the question of breast size without more information.Without a physical examination, it would be only guesswork at this point in time.
For this reason, multiple approaches are utilized to make this determination preoperatively.These include reviewing magazines, photographs, external sizers, and recently the 3D Vectra computer imager, to name a few.
Even when tremendous care is taken preoperatively to determine breast size, the final decision needs to be made in the Operating Room by the surgeon.At this point, an assessment can be made regarding how the patient’s breast tissue interacts with the breast implant.Occasionally, obtaining a specific size doesn’t allow the surgeon to meet the patient’s other aesthetic goals.For this reason, locking into a specific size isn’t always a good idea.The results are better when a surgeon has the ability to make adjustments in the Operating Room.
Furthermore, most patients tend to speak in terms of cup size.Unfortunately, cup size isn’t always helpful because manufacturers of bras label their products differently and women don’t always wear their bras the same way.In other words, some women wear their bras snugly, while others wear them loosely.This creates communication problems when talking cup size.
In your case, I think it’s important to thoroughly discuss your aesthetic goals with your surgeon.Make sure he has the latitude to do what’s best for you in the Operating Room, so he can meet your aesthetic goals.It’s important that you have an approximate idea of the breast implant size that you’re considering, but don’t become married to an absolute number.

Implant Size to achieve goal of move from B to C cup

There is not a direct correlation between breast implant size and cup size as the cup size varies greatly among companies and even within the same company. Moreover, cup size can vary based on who is performing the measurement.

The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.

Consult with 3 experienced and expert board certified plastic surgeons to understand your options.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 27 reviews

Recommended CCs

There are several factors that plastic surgeons consider when recommending implant sizes. 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.

Dr. Basu
Houston, TX

How much cc is needed to achieve full 'C' breasts?

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance.

Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.

Hope me that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Proper Implant Selection

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection to replace an in office exam and good communication with a board certified plastic surgeon.
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 65 reviews

How to choose your breast implant size

Choosing breast implant size (or CC's) is a personal decision that should be made with your surgeon.  There is a certain range of sizes that will "fit" your body. The best way to decide is to try them on. In my office, my patients are given a brea, implants of different sizes, and then they can see exactly what they will look like after the surgery. Sometimes my patients even borrow the implants for a few hours to go shopping or go out for lunch. It is like "test driving" the size and has been really helpful. I find this much more useful than expensive computer imaging programs available.

Cc's vs. cup size

There is no accurate formula to translate cc's and cup size. Bra cup sizes are based on designer and manufacturer criteria and not consistent. The best way to determine the appropriate implant size is to start with measurement of your chest, breast and tissue coverage. That should leave you with a very narrow range of implants - not the wide range you mentioned in your question. Then you can take the implants that fit your body and try them in a bra/cup size that you like. If you achieve the look you desire then proceed with the surgery. You will be happy with the results. The proportionate look after surgery is more important than your cup size and it will also give you the most "natural' look. The bigger implant you choose, typically the more problems you will have. Make sure your implant matches the measurements of your body.

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.