I'm 210lb & 5'9", A to D/DD cup, will 500cc achieve this? (Photos)

No, you don’t need to loose weight for the surgery, and if you want D or DD, you need at least 500 cc, maybe 550

Thank you for your questions. Bra cup manufacturers don't standardize their different cup sizes, so a "DD" cup does not represent the same volume for each company. This is why most plastic surgeons won't promise that a specific breast implant will yield an exact cup size. It is best to use other techniques to determine if you would be happy with certain breast implants, such as looking at before/after pics of people with a similar body type, trying on sizers, doing virtual imaging, etc. Of course, your plastic surgeon will also be an excellent source of advice. Your breast implants should "fit" your body type, and this is where detailed measurements, full physical exam and the surgeon's experience are critical.

Whether you need to lose weight before surgery is between you and your surgeon, but your BMI is not excessive, so unless you were planning to lose weight anyways I see no need. The best way to determine what size implant to choose is to try the different sized implants with a sports bra and tight t-shirt during a sizing session and see which look right for your frame. Don't worry about the letter on the cup size you are targeting as it's different with each brand anyways. If what you're looking at in the mirror when you try on sizers looks like what you think your goal cupsize looks like then you've chosen the right size implants. Your surgeon should also help guide you with this choice. Hope that helps!​

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

We always suggest being within 10-15lbs of your goal weight prior to having any cosmetic surgery, so we're not hitting a moving target. When you go in for a consultation, a surgeon can help determine the best implant size to achieve your desired cup sized based on breast measurements taken, your body frame, and the condition of your skin.

At this time, I do not recommend implants but a lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

In your group (larger base breasts, larger body) very likely that one cup size would be in a range of 220-250 ml. This means that to achieve cup size D or DD you will need range of 600-700 ml. It is best to do sizing with your plastic surgeon, trying different volume sizers. Good luck.

Dear Considerate782592,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

There are many factors that go into selecting an implant. In addition to volume you need to consider shape, style and profile. Your experienced board certified plastic surgeon is your personal expert in helping you select the implant that best helps you achieve the look you want. During a consultation measurements will be taken of your breasts and a discussion of your goals will take place. This information is needed for your surgeon to help suggest implant options to you. I've included a video on this process that I hope you find helpful.

Ideally, you would lose weight before having surgery. However, we do not live in an ideal world. During your consultation, you will be measured and can try on sizes that best fits your frame and tissue. Sometimes, what you think you want is not what can be achieved with your frame and tissue.