Is it Possible to Go From a 32aa to 32d With 250cc On My Frame?

Thanks for your inquiry.  My rule of thumb is that it is possible to get you one or two cup sizes larger, but you risk stretch marks trying for that extra cup or more.  It makes sense to stage your augmentation to get a second set of larger implants at least 6 months after the first.  Expensive, yes, but much safer for a natural result and less disappointments.

The average implant in my practice is about 300 cc and will take most smaller busted women to the C cup range.  A change to a D cup would require a significantly bigger implant.

Hi.  By your measurements, you are quite petite.  Even so, I think it would be unlikely for you to get to a D cup with a 250 cc implant.  I suspect it would get you in the 32C range - but that's just an intelligent guess.  

Go with an implant size and shape that looks nice and proportional for your frame - don't aim for a particular bra size.

Hello,

Like the others, I am not found of making predictions with implants and bras. It's best to bring in photos of how you want to look, and let the doctor determine what size implant will get you close.

I think that there is a bigger issue here.  You are petite at 98 lbs. and 27 inch ribcage, regardless of your height. A larger implant may not fit your chest anatomy well, and could lead to a higher risk of complications if chosen.

I agree with you, I think your ps is great for choosing what seems to be an appropriately sized implant for you anatomy. You should ask her if she had concerns about larger implants causing problems with you. If she says yes, you should heed her concerns.

Best of luck!

Dear researcher,

   Well , it all depends on the chest and breasts measurments. Your calculated BMI is about 17. You are indeed very small.  If your chest circumference is 27" and your breasts cup size is 'aa', than your surgeon is in a way correct. A 250cc implants will increase your breast size by about 3 sizes to a 27 full C. The problem is that the bra manufacturers  start making the bras for adults from size 32 . In that case, a 250cc will bring you to 32 full B or small C. So, if your goal is a 32 D cup, than the more correct size is  350cc or 375cc.  I hope this help.

                   Best of luck,

                                                Dr Widder 

Regardless of your small frame, you are not tiny at 5'4", and 250cc will likely add only about a cup size or so to your present breast size.

Bra sizes are so variable that this (32AA to 32D) is by no means impossible, but adding 250cc to what you presently have for breast volume (not much) will yield larger breasts, but likely not a 32D, even at Victoria's Secret, where the bras sizes tend to have larger letters for slightly smaller breasts. (This makes most women feel good about themselves--not a bad thing!)

Try on implants in a bra and stretchy top before deciding. Also plan on having your surgeon add about 50cc to your chosen "best size" in order to compensate for the below-the-muscle compression effect you don't see when trying on implants in a bra.

Perhaps this is your surgeon's backhanded way of recommending only 250cc implants for you. While this may look "just fine" in your surgeon's aesthetic eyes, what if YOU feel you are still too small? Please ask about your surgeon's re-do or "larger implant" revisionary surgery cost policies. Or obtain another consultation or two before you commit. You really don't want to have to re-operate to do what should have been done as thoughtfully as possible the first time around. Best wishes!

As dr Pousti said, differents cups mean different things to different people and i agree that you should try some sizers on and look at a lot of before and after pictures of patients similar to your frame and breast size and see the different results. the same implants can give a completely different result on different patients, but in general an increase of 200-250cc is going to give another one cup size up at best, so I dont see how it is going to achieve a D cup. I recommend that you consult with one or more board certified plastic surgeons to get all the answers you need.

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

Thank you for your question.  What is important is what you would like with regards to brease appearance and not what the bra size is. Every bra manufacturer has different sizing and many women wear / fit their bras differently.  Some woman wear a padded formed bra - some wear no padding.  For these reasons a "D" cup means different things to every woman and it is impossible to know what you are expecting. 

 

What we do in my office, on the day of the consultation, is provide many un padded bras and different types and style of sizers.  Patients spend time with my staff finding the size and look that they want.  We do this in a room that has a full length mirror.  Patients are asked to bring a few different tops to get different looks.  This process is critical for patients satisfaction.  Once patients pick an implant size, we go up an additional implant size to account for the apparent loss of volume when the implant is under the breast / muscle tissue.  In almost 20 years doing 1000s of BA we have not had patients coming back rquesting size changes.

 

Another issue for you to consider is your body size and a "D" cup.  There are limitations with regards to your current breast width and the width of your breast implant.  Your surgeon may be recommending a 250 cc HP or UHP implants because she knows that a larger implant may cause a double bubble.  Talk with your surgeon so that you are fully informed and happy with the decision wrt your final implant size and ultimate breast appearance.

 

All the best.  Dr. Scott Barr, Barr Plastic Surgery.

 

Even with your small frame, it would be hard to imagine that 250cc implants would take anyone to a D cup. It will likely increase your breast size one or two cups but not three or four cups. Of course, there is great variability in anyone's interpretation of breast cup size. But an implant that fits within your cupped hand may not be what you see as a D cup.