Will a 330 Silicone Implant Give Me a Full B Cup?

This is one of the more commonly asked questions regarding breast implant surgery. There are a number of different methods to choose proper implant size, including placing an implant inside the bra, specialized “prosthesis” sizing methods, etc. The same implant size will have different shape and size in two different patients, due to variability of pre-operative anatomy of individual patient.

 

 In my practice I found that the most accurate way to create the breast shape and size that patients want is by reviewing with the patient literally dozens of photos. This can take a bit of time, as I explain to the patient in each photo various aspects of breast appearance – fullness on top, fullness on the bottom, degree of cleavage, degree of breast tissue on the side, the forward projection, etc. Once the patient and I clearly understand the look that the patient wants, then it’s up to me to choose the correct implant (size, shape, composition), choose the correct pocket creation to achieve the look the patient wants. An experienced and talented surgeon can use his judgment, as well as trials of various breast implant sizers during surgery (it takes extra effort, but it’s worth it) to achieve the desired look.

Thank you for the question.


Unfortunately,  no plastic surgeon is able to accurately predict what cup size you will end up wearing after breast augmentation with a certain size implant. I  suggest that patients not base their communication of goals  or satisfaction with the results of surgery on achieving a specific cup size. As you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

In my practice I use goal pictures to communicate with patients.  With this technique patients are able to demonstrate what they are trying to achieve and what type of looks they do not like as well.


I also use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 


 In your case, given your goals, I would suggest that you emphasize to your plastic surgeon that you will be likely be more disappointed if you are slightly too big than too small.

 I hope this helps.