Petite Build Finally Getting 365 Cc on, is it Possible to Achieve a D Cup With This Over The Muscle? Will is Look Natural?

After another meeting, I am getting now finally soon 365 cc silicone implants, low height, extra full projection, will be placed over the muscle, not speaking anymore of more volume, I am 5.7 tall, 104 lbs., wearing a 32A bra, very petite build and thin. Is it more a fake look or still natural ? I would like to have a D cup, can I reach this one ? What will be the result for me ? Do you think it would be possible to go over 365 cc ? Thanks in advance.

Doctor Answers 12

Breast Implant Size

Cup size is an inexact measurement as cup size vary significantly among bra companies and even within the same company.

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.

If you chose an experienced and expert board certified plastic surgeon who has taken the time to understand your goals and objectives, then you should be happy with the results.

West Palm Beach Plastic Surgeon
4.5 out of 5 stars 21 reviews

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Implant Selection Process

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
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 54 reviews

Over the Muscle Breast Augmentation

It is difficult to determine exact cup size pre-operatively. Every manufacturer produces a variety of bra styles, which may differ in size and shape. Clear communication with your plastic surgeon is important in achieving the desired goals of the patient.  I like to communicate with patients with “goal” pictures.  During surgery, I use temporary sizers to determine the size/profile that will give the patient the look she is looking for. Trying to predict the size of the implant preoperatively is not ideal.  I think it is too much responsibility for the patient to choose the size of the implant.  Ideally, the surgeon would make that determination once he/she is in the operating room with sizers in and examining the patient in the upright and supine position.  There are many variables that come into play when choosing the correct implant size (how much breast tissue the patient currently has, the shape of the chest wall (concave vs. convex), etc.. I don't generally recommend sub-glandular ("overs") and would caution you to know the pro's and con's of implant placement prior to surgery.

Trying to achieve a D cup in a petite woman

A lot of factors go into choosing the size of implants- preop size, body proportion( weight and height), elasticity of skin, expectation of the patient and the experience and aesthetics of the surgeon. In your case I would not suggest that you go beyond a full C, and even for that size your surgeon needs to examine your breasts. Otherwise the look will be unnatural and you may be able to see the outline of the implant. I would also suggets that you go below the muscle to keep it as natural as possible.

George Lefkovits, MD
New York Plastic Surgeon
3.5 out of 5 stars 24 reviews

Breast Size

Without pictures or seeing you in person, it is impossible to give you specific advice.  Implant choice has to do with your measurements, your skin quality and your expectations.  In most cases, smooth silicone, moderate profile plus, under the muscle placements gives the most natural results.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 63 reviews

Breast implant size

I am not sure what you mean by low height extra full projection. Projection and height are synonyms

for breast augmentation cases..

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 11 reviews

Implant position

If you have very small breasts, and the implants are placed in front of the muscle, you will not have enough tissue coverage to allow for a natural look.  It is better to have implants under the muscle, under any circumstances, because mammogram readings are more accurate, there is less chance for hardness from capsular fibrosis, and the result is more natural and attractive.  Also, it may be better to achieve a beautiful, full breast without determining an exact cup size (which varies with the back size) or number of cc's ahead of time.  Sizers may be used during surgery, and you can have the largest size that looks appropriate for your chest wall, as determined by looking at you in an upright position during the procedure.  It will probably be a D if your back size remains a 32.  If you try to go too large, you can have problems with displacement, and you may have an obvious, "done",  appearance.  Natural and full is much sexier than phony and huge.

Diane L. Gerber, MD (retired)
Chicago Plastic Surgeon

Breast augmentation

It is very hard to choose an exact bra size in the operating room - there is no way to measure it so you can just get close.  Placing your implants above the muscle will make your implants look less natural than under the muscle if that is your goal - this also decreases the rate of capsular contracture.  Good luck!

365 gel implant above the muscle

I am not a big fan of "above the muscle".  Below the muscle is more natural, better mammograms and less capsule contracture.  Make sure the diameter of the implant is close to the diameter of your breast.

All the best,

Talmage J. Raine MD FACS

Talmage J. Raine, MD
Champaign Plastic Surgeon
4.5 out of 5 stars 8 reviews

Breast Implants and Looking Natural

Hello Patty 123,

Have you had this conversation with the plastic surgeron you have seen?  If you have, and he hasn't told you that this recipe (large, high profile implant over the mucsle in a lean, small breasted person) will likely cause not only a fake look, but more importantly puts you at risk for extensive rippling, unpredictable tissue stretch (imagine a ball in a sock), implant malposition, and capsular contracture, then you have not being given good information, and might want to consider another doctor to speak to.

Thin, small breasted individuals really don't have the luxury of picking what bra size they want to be.  More than ever, it's about the surgeon picking the appropiately sized implant for the patient's anatomy.  Implant placement is always best in the subpectoral position in everyone and will give a more natural appearance.  Implant profile should be low or intermediate to achieve a natural look as well.

A large part of my practice is revision surgery, and many would not need a reoperation if they had been better informed and wouldn't make choices that lead to complications or dissatisfaction.

Best of luck.


Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 42 reviews

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.