Is 450cc Enough to Go From Full A to a D Cup? Can I Change My Mind At the Pre Op?

If I ask my doctor for a full D and i'm currentlly a large A is it right to get 450cc saline implants (they are under the muscle) when i tryed them on i was leaning towards 475 to 500cc's, i'm wondering if he's just using his own good judgement that they will be full D's or if mabey he will just overfill, because on my chart he wrote 450? I am 5'3" and 135 lbs and a 34 A or small B. Thanks! and If I decide to change my mind on size can I still at the pre op??

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A to D cup 450-499cc opinion

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5 Doctor Answers | Asked by noelogan in Los Angeles, CA

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Anxiety over breast implant size choices

There is nothing that gives a patient more anxiety than implant selection. This does require making sure that the plastic surgeon understands exactly what you are looking for. Ultimately a happy patient is one who can look at themselves in the mirror after the surgery and say with confidence I got what I thought I was going to get. How is this accomplished. Trust the surgeons judgement and experience in helping you select the correct implant for your size and shape.... more

A to D Cup Breast Augmentation

Hello Noelogan, If your doctor has been completely honest with you, he would have told you that there is no way to guarantee a cup size for many reasons, some relating to how your body will react to a given implant, and some relating to the non-standardization of the bra cup sizing system. The best way to communicate your aesthetic goal to your doctor is to bring in photos of people whose proportions you would like to have. Additionally, if your doctor has been completely... more

Choosing the breast implants

I never guarantee a cup size because it is too difficult to assess. Manufacturers of bras make their cups differently. The yes thing for you to do is to go by volume. You can do the baggy test to get an approximate idea of the volume you like.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Implant Size?

Thank you for the question. In order for you to have peace of mind it may be necessary for you to have another communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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... more

Breast implant size concerns.

Your concerns are very legitimate and common. Most women second guess their decision before surgery. I also find most patients are afraid they may be too large preoperatively and wish they were larger postoperatively. I take this into account when selecting the final implant at surgery. It generally is not an issue to have changes pre op, but make sure your surgeon is aware so the surgical facility can have all sizes available.