Breast Implant Size to Achieve Full D Cup?

asked 2 years ago by Jp 1969 in California
Latest answer by Tom J. Pousti, MD
Question viewed 2,235 times
Tags: breasts, 130-149 lbs, 5 ft 4 in to 5 ft 7 in, B cup, D cup

I'm having round smooth saline breast implants placed in 2 weeks and am confused on size. I am 5'4" 130 lbs and currently have 36 B breast. I was 36 C prior to children. My shoulders are wide at 18" and breast diameter 14 cm. I want to go to a full D cup and thought 450 cc would accomplish it (under the muscle). I liked the 400 cc sizers. My doctor said he may have to use 500cc and I'm concerned that it will be too large and weigh my breasts down too much. I currently do not need a lift. On the other hand, I don't want to go too small and be unhappy.

9 answers to Breast Implant Size to Achieve Full D Cup?

Breast implant size

It is very important to communicate your size goals with your surgeon. 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 use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Sizing prior to Breast augmentation with implants

SEE VIDEO FOR SIZING TECHNIQUE: In reality 450 to 500cc does not represent a significant difference and if 500 is too big then so will 450cc. However, if 450cc is too small, then 500cc may be too small. I would highly recommend that you stick with your sizing preferences. If you liked 400 then 450cc is an appropriate size. Try on a 450 sizer and if that is too big for you (correlates with a 500cc under the muscle implant), then inform your surgeon and he/she will not use this. There are... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implant sizing

I completely agree with my colleagues; bra cup sizing is extremely variable. Your best option is to stick with the size of implant that you liked in the office. Discuss this with your surgeon and remind him or her that you want to be on the larger side. Most surgeons do bring a few sizes into the OR and use what they think will achieve the patient's goals while preserving the integrity of the tissue. Good luck with your new look! /nsn

Nina S. Naidu, MD
New York Plastic Surgeon

Cup size and implants

If you liked the 400 cc implants and they are size appropriate, then do not worry about the specific cup size. All bra companies are different.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implants for a D cup

Remember first that cup sizes are not exact. A 450 moderate profile implant should fit your base diameter well. A 500 cc is not nearly as much different from a 450 as a 250 is from a 200. In other words, the larger the implant, the less difference you see in 50 cc increments. Either a 450 or a 500 will probably be fine if you liked the 400 sizer.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast implant size for full D cup

Cup sizing is NOTORIOUSLY inaccurate. A C cup in one manufacturer does NOT match a C cup in others. To further complicate matters breasts are nearly always asymmetrical - making getting symmetrical breasts after augmentation nearly impossible (especially when equal volume implants are used). A "breast diameter 14 cm" means that you current breast tissue could cover an implant of similar or lower diameter to get a more natural result with less visible implant ripples. http://www... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Bra Cup Sizing is NOT Accurate

What is a D cup? I don't really know. Nobody does. Sears thinks it's smaller than Target, who thinks it's smaller than Victoria's Secret, who thinks it's smaller than Frederick's of Hollywood. There is NO STANDARDIZATION. Why don't you find some photos of what you would like to look like. Then, bring them to your Board Certified Plastic Surgeon. Discuss what you like, and he'll tell you whether he thinks your desires are realistic. Engage him. Numbers and cups don't mean nearly as... more

Michael C. Pickart, MD
Ventura Plastic Surgeon

Cup size after augmentation depends on which bra store you buy from and it is not reliable

When you say a full D cup, do you mean a D cup from Macy's or a D cup from Victoria's? Bras will vary by manufacturer, so you can only be disappointed if you say "I want a full D" but end up being a DD in some bras or less than a full D in others. Also a 50 cc difference is only 1.66 ounces. If you add your present breast volume plus the size of your new implants, is 1.66 ounces going to make a difference in how heavy your breasts will be? Think about all those factors. In the... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Implant size depends on desires and chest dimensions

For your given measurements, I think that about 400-450 cc would accomplish your goals. However, with a wider breast diameter of 14cm, you may need to go with a slightly larger, lower (moderate) profile implant.