34A, want to be a full B cup, but no bigger than the photo shown below. How many CC's to achieve this? (photo)

Question

I'm 23, 5'1, 106 lbs, a cup, 34 a to be exact.  What CC's would be recommended in order to achieve this size, without looking disproportionate to my petite body given my exact measurements: Nipple (sternal notch cm) R 17 1/2 L 17 Nipple fold R 5 L 5 Fold (sternal notch) R 20 1/2 L 20 Areola diameter R4 L 31/2 Nipple 15 LBFP 14 RBFP 12 1/2 Also, would a high profile or medium be better to achieve these results? My surgeon is using smooth, round, sientra implants.

Gary M. Horndeski, MD · Answer

At
size 34 A each 100 cc’s of implant corresponds to 1 cup size change.  To be a full B would require 100 cc
implants.  I always recommend small round
textured silicone gel implants placed retro-pectoral since they look and feel
more natural, are more stable, less likely to ripple or have complications
needing revision.  Implant profile is
irrelevant in the retro-pectoral position since the muscle compresses it and determines
the projection.Best Wishes,Gary Horndeski, M.D.

Richard J. Bruneteau, MD · Answer

Every
woman’s idea of cup size is different and for this reason most plastic surgeons
prefer other methods to determine breast size. Furthermore, cup size doesn’t easily translate into cc’s when
determining breast volume.In
addition, no two patients are ever exactly alike.They have unique anatomic findings,
individual starting points and specific aesthetic goals.In the
absence of a physical examination and pictures, it’s virtually impossible to
make a recommendation about implant size.For these reasons, consultation with a board certified plastic surgeon
is appropriate.This surgeon should be
able to find the implant that creates harmony, balance and proportion and
ultimately accomplishes your aesthetic goals.

Christopher T. Maloney Jr., MD · Answer

The key to determining what implant will work best for you
is to measure your base diameter (width). This will determine if a moderate or high profile implant will fit you
best.What your surgeon will do is pick
an implant that will give you the volume you are looking for, but keep the
implant in you breast diameter measurements so the implant is not too wide(out
in your armpit) or too narrow for your body. In my practice, we offer 3D Vectra
imaging so we can take a 3D picture of you and your breasts and then “implant”
the exact implant you are looking at.We can also put a cute bathing suit on the 3D image and rotate the image
so that you can envision what your implants will look like when you are laying
down.This is incredible technology that
allows us to have our patients better understand what their breasts will look
like after an augmentation. See if your surgeon offers this and good luck with your procedure.

Gerald Minniti, MD, FACS · Answer

Hello,I'm sorry, but there is no way for any doctor, on line or in person, to be able to tell you exactly what implant will achieve what cup size.  There are just too many variables on both ends to be able to accurately determine that.  The absence of a photo of your current appearance makes this even more difficult, regardless of all your measurements.The sooner you let go of a bra size, and ask for an appearance as seen in a photograph or in the mirror with sizers, the better off and more satisfied you'll likely be after surgery.If you want a 'natural' appearance, like the one in the photo provided, you should avoid a high profile implant.Best of luck!

Francisco Canales, MD · Answer

No one can guarantee a cup size. Each bra store and manufacturer sizes differently and not scientifically. We have had some patients with 200 cc implants be sized as a D cup and others with 320 cc as a B cup in the same lingerie store.  Choose your size together with your surgeon and do not pay attention to the tag inside your bra.  Best wishes.

Jaime Campos Leon, MD · Answer

Thank you for your question.To best help you, a physical or picture evaluation would have to take place in order to determine which procedures and techniques would be best for your case.

Tom J. Pousti, MD · Answer

Ultimately, careful communication of your goals, careful measurements (dimensional planning),  careful selection of appropriate breast implants and skillful execution of the procedure will be important steps in achieving your goals. Generally speaking, the best online advice I can give to ladies who are considering  revisionary breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  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 use of words such as “natural”  or “full B cup” or "fake look" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

The use of computer imaging technology may also be helpful to patients;  this technology allows patients to visualize what their breasts may look like with different sizes/profiles of breast implants. I have found this modality to be a nice addition to the communication “tools” available.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.

I hope this (and the attached link) help.

Curtis Wong, MD · Answer

depends on many variables but the simplest method is to use external sizers to 'see' if the volume will fit on your chest and then use your breast dimensions to select your profile of implant.  It doesn't have to be more complicated than that.  If you have a wide breast/chest, Sientra may not have the width to produce the best results.

Robert Singer, MD · Answer

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit
at a preoperative visit will help you and your surgeon choose the optimal
implant.Keep in mind that following the
advice from a surgeon on this or any other website who proposes to tell you
what to do without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros and cons
of each operative procedure would not be in your best interest. I would suggest
you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

Brian Windle, MD (retired) · Answer

Cup size is not standardized and each bra company has their own idea or what the difference in cup size is or should be.  Generally a bra cup size is about 100 to 150 cc.  A measuring cup is 236 ml.  So it is really confusing for many, including surgeons.  I recommend that you try on different size implants under a sports bra and that way you will determine what size you really like.  I hope that helps.Best regards.

34A, want to be a full B cup, but no bigger than the photo shown below. How many CC's to achieve this? (photo)

Answers (12)

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