I am 5'1, 94 pounds, 32a with basically no breast tissue of my own. Is 300cc too large for petite girl?

Question

Im very petite, 5'1 and 94 pounds. 32a's are too big on me! I have NO breast tissue of my own. My doctor gave me 3-4 sizers to try on. I liked the look of the 300cc HP (under muscle). At the time, I thought that these sizers looked pretty natural on me but it can be so hard to tell with clothes on! I know it's impossible to guarantee a cup size but based on your experience, how many cup sizes will I increase with 300cc? I want to be noticeably larger but not look OVERLY done! Thanks

Jed H. Horowitz, MD, FACS · Answer

please see my previous posts on this subject36a   needs about 375  for 36c34a   needs about 325  for 34 c32 a needs  about  250-275 for c    you will most likely be a D cup in most bras and skin may be fairly tights.     240-260 cc range would be more conservative

Andres Taleisnik, MD · Answer

As others have mentioned, it's best to focus on the LOOK you want rather than on specific cup sizes. Bras and sizing differ based on manufacturer and the store where you're fitted. With your petite build and minimal tissue, you should probably err on the side of being cautious. 300 cc may work well for your build, but a number of factors influence your outcome. You and your surgeon need to consider your chest wall width, your existing breast width, and the elasticity or tightness of your tissues. I would also insert a temporary "sizer" implant at the time of surgery in order to determine whether a 300 cc volume will look good in YOUR body, and whether that volume will give you the look you want. It might be that you need a slightly smaller or slightly larger implant volume. I think that the extra effort to check the implant volume at the time of surgery is well worth it, to maximize the chances that you end up with the look you want. Although I have many extremely happy patients of your petite build with minimal breast tissue who are very pleased with their augmentations using saline implants, the factors you've described may make silicone a good option for you. Something to think about...My office is in Orange, very close to you, in case you'd like to discuss this further in person.Good luck with your decisions!

Ronald J. Edelson, MD · Answer

300 cc implants are likely to make you a large B or small C and I would not consider them too large.  I think it is a good choice for a woman with a petite build.

Farbod Esmailian, MD · Answer

Congrats on your decision to move forth with breast augmentation surgery.Even though you have provided your height and weight and current cup size it is still very difficult to say what cup size you will end up being.  In general about 180 cc will increase cup size by 1 size.  Having said that it also depends on your chest circumference, soft tissue characteristics and current volume.  My advice to my patients is always focus on the look you are going for and not the cup size.  There many reasons that I have eluded to that make it difficult to predict cup size, but one of the most important thing is that every bra company sizes their bras differently.In my practice, we recommend the use of photos, rice test and Mentor Volume Sizing System to help our patients make a good decision on their sizing.  As the physician, I am there as a guide to help you achieve the result that you are wanting, but to do it safely.Hope that helps.

Robert M. Lowen, MD · Answer

The patient asks if a particular size is appropriate, but more importantly she needs to know the problems a patient faces when the tissues are very thin and there is hardly any fat or breast tissue to cover an implant. This particular situation is the extreme of all the problems women face when they decide on sizes and types of implants. It is the interaction of the implant over time with the elastic holding ability of the overlying skin and breast tissue that determine how much wrinkling and descent of the implant with skin stretch will occur over time.   Thin patients will always reveal more of the implant shape, which has a tendency to make the result look too round. This is helped by putting the implant partially under the pectoralis muscle. The larger the implant, the rounder and less natural the result looks with thin skin. The larger the implant, the more the patient is likely to feel and see wrinkling of the implant over time, through the thin skin.  A high profile cohesive gel implant holds its shape a little better than a moderate profile round, but in the thin patient the upper pole of the breast tends to show a more abrupt transition between chest and implant, a step-off, so to speak.  The moderate profile collapses more, especially as the skin stretches, so the upper pole step-off appearance may be less, but the moderate profile may look and feel more  wrinkly. The larger the size, the more these problems become, since size equals weight equals stretch over time.   To avoid going too large, the breast diameter must be measured and the implant diameter has to be no larger than this.  If 300 fits, then 300 can be used.   Another alternative would be a form-stable implant which holds its shape. Although some women feel these are too firm or not round enough for their taste, they seem to hold their position better over time, and since they do not collapse very much, hence the name form-stable, they tend not to be so wrinkly through thin skin.   Bottom line, thin skin, little coverage, large implants do not go together well. In this situation, in the interest of long-term maintenance of the integrity of the skin and avoiding stretch, wrinkling and inferior displacement, think smaller rather than larger, or form-stable rather than soft cohesive moderate or high profile gel.

Kyle Song, MD · Answer

In general, for a 32 bra band, every 150cc will give you one cup size increase.  This is only ballpark, and can be highly variable based on the tightness of your breast skin and pectoralis muscle.  So, you could expect somewhere in the full C cup.Another option to consider is shaped implants.  Sientra makes a great shaped implant that can give you a nice proportionate look that is as natural as possible.  I think the results are beautiful in petite women such as yourself.

Kenneth Hughes, MD · Answer

This sounds like a reasonable size for a smaller woman.  The average volume placed in this country is 350 cc.Kenneth Hughes, MDLos Angeles, CA

Larry C. Leverett, MD, FACS · Answer

Not all 300cc implants are the same. They come in different shapes, sizes, compositions, and sizes. Some are wider (moderate profile) and some add varying degrees of prominence (profile). In general, (though not exact), each 200 cc's or so add ~ one cup size, but that varies greatly with body contour, height, and the types of bras that you prefer to wear. When you try on the sizers  in the office, view them not only in a sports bra but also wearing a blouse (which may make it look smaller). With that said, it is likely that you will be fitted with a silicone high profile  implant though you could feel ripples with any implant if you very thin.

Gerald Minniti, MD, FACS · Answer

Hello,Breast augmentation has real limitations, and this is no more true than in a person like you.  You are probably very lean, and without any breast tissue.  The skin of your breasts may be very tight as well.  It can be very difficult to make a large jump in size in this situation without looking like you have two balls under your skin (especially with HP implants), or worse some complication like malposition or rippling.There is an objective way of choosing the right size implant based on the anatomy of your chest and breasts.   It does not take into regard your aesthetic goal, but it will give you are long term, reliable, and pretty result.  The final decision of the implant size should start with this objectively determined number and then you and your surgeon can decide how far to deviate from that number based on your aesthetic goal - the farther you deviate, the more likely you look unnatural and the greater the risk for complications.Picking cup sizes is hazardous as it can frequently lead to patient dissatisfaction.  Communicating goal size to your surgeon is best done with photographs of models with your goal physique or using sizers.  Once again, once this is determined, your surgeon can discuss how far away the necessary implant size is from your ideal implant size.  Remember that after your surgery your cup size is irrelevant, it's how you look in the mirror that is important!Best of luck!

Paul Gill, MD · Answer

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.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 during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

I am 5'1, 94 pounds, 32a with basically no breast tissue of my own. Is 300cc too large for petite girl?

Answers (15)

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