Are 360 Cc's Going to Be Big Enough?

Hello! Thank you for your question. In
general, implant size does not
correlate with bra cup size. The cup size itself will vary from
manufacturer to manufacturer as well as who is doing the actual
measurements. Thus, cup size is never a reliable indicator for your
breast size. I typically encourage my patients not to communicate her
desires in cup size but more on the actual look and appearance. Given
your desires, a breast augmentation, with an implant or fat grafting,
would be an ideal procedure that would meet your expectations. Breast
augmentation is now the most popular procedure performed in plastic
surgery today. One tolerated very well by women with minimal downtime
and high patient satisfaction. Good
communication between you and your surgeon of your expectations is
warranted - choosing your surgeon wisely is the first step. Discussion

of your wishes and having an honest and open dialog of your procedure is
mandatory (e.g, implant type, incision, placement, etc). Your height,
weight, breast width, and body habitus will make a difference for which
implant style/projection to choose. Implant
profile will also make a difference on the projection, which will
influence overall breast/cup size. I have found

that photographs brought by the patient is helpful to get a
visualization of the appearance you wish for in terms of size, shape,
fullness, etc. In addition, your surgeon's pre and postoperative
photographs should demonstrate a realistic goal for you of results.
Sizers are helpful during an in-office consultation. Once this has
been accomplished, allow your surgeon to utilize his/her best medical
judgment during the procedure to finesse the best possible result for
you after preoperative biodimensional planning and fitting the right
implant for your breast width. This is the most important determinant
for the sizing of implants, which will provide the optimal result and
most aesthetically-pleasing result for you.Consult with a
board-certified plastic surgeon well-versed in breast procedures who
will examine and discuss with you the various options and factors to
consider and help you decide which one will be the right one for you.
Hope me that this helps! Best wishes for a wonderful result!

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.

If your chest is a 34 then each 200 cc is 1 bra size change.  You said that you are happy with 360 cc and questioning whether you should use 390 cc.  The difference of only 30 cc's is 1/7th of a bra size change and would not be noticeable.  If you are a B cup then either implant size will make you at least a full C or probably a D.

Best of Luck,

Gary Horndeski, M.D.