Achieving a C Cup with Breast Implants
My suggestion is, if a woman wears a size 36 AB bra and would like to be a #Ccup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc #implant to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a #volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc.
The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saiine/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the cup with breast tissue, and the subjective differences in patients perceptions of cup size.
Much of the final “look” achieved after breast augmentation surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. 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 “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I 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.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
Bra Cup Sizing is NOT Helpful
First, overinflating a 300 cc implant by 20% (to 360 cc) is fine. I usually overinflate by 10-20%.
Second, what is a C cup? I don't really know. Nobody does. Sears thinks it's smaller than Target, who thinks it's smaller than Victoria's Secret, who thinks it's smaller than Frederick's of Hollywood. There is NO STANDARDIZATION.
Why don't you find some photos of what you would like to look like. Then, bring them to your Board Certified Plastic Surgeon. Discuss what you like, and he'll tell you whether he thinks your desires are realistic. Engage him. Numbers and cups don't mean nearly as much as you getting the "look" that you want.
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.
Clear communication is critical!
of breast implant size is always difficult for prospective breast augmentation
patients.In this case, it’s virtually
impossible to answer the question of breast size without more information.Without pictures or a physical examination,
it would only be guesswork.
For this reason, multiple approaches
are utilized to make this determination preoperatively.These include reviewing magazines,
photographs, external sizers, and recently the 3D Vectra computer imaging
system, to name a few.
Even when tremendous care is taken
preoperatively to determine breast size, the final decision needs to be made in
the Operating Room by the surgeon.At
this point, an assessment can be made regarding how the patient’s breast tissue
interacts with the breast implant.Occasionally, obtaining a specific size doesn’t allow the surgeon to
meet the patient’s other aesthetic goals.For this reason, locking into a specific size isn’t always a good
idea.Results are better when a surgeon
has the ability to make adjustments in the Operating Room.
In your case, I think it’s important
to thoroughly discuss your aesthetic goals with your surgeon.Make sure he has the latitude to do what’s
best for you in the Operating Room, so he can meet your aesthetic goals.It’s important that you have an approximate
idea of the breast implant size that you’re considering, but don’t become married
to an absolute number.It’s also
important to note that implants are frequently overfilled.This is done in an effort to minimize the
appearance of ripples.
I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique. That being said, given your height, weight, and your activity level, along with the fact you are considering a lift, I would say you are probably not that far off in choosing an implant in that range. Best thing to do is to see a qualified plastic surgeon that has good breast expertise.
Cup size hard to predict after breast augmentation
Thank you for your question. Breast implant sizing is best done based on your biometric measurements of your chest and breast, and utilization of a breast implant sizing system.
Your goal should be to achieve the look that you want and not focus on cup size. Different brands of bra size cups differently so that a C cup in 1 store can be a B cup or a D cup in the difference store. Consult your plastic surgeon for a further discussion of sizing.
Implant Selection Process
Unfortunately, there is not a general rule of thumb or objective criteria to implant selection to replace an in office exam and good communication with a board certified plastic surgeon.
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.
There are several variables in determining implant size. When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal. Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation. You should visit with board-certified plastic surgeon who will examine you. Try implant sizers to get a rough estimate of the size you may want. As you know, bra/cup size will vary depending on the brand. Good luck with you.
Dr. Sugene Kim
Will 360cc saline implants result in a C cup?
The question about overfilling implants is the easier question to answer. Saline implants can be overfilled to at least 10 - 20% over the labeled size. In fact it is advisable to overfill the implants somewhat to avoid rippling and folding of the implant. Obviously too much of an overfill might put too much tension on the implant and cause problems as well.
Cup size is a different story and as the other surgeons have indicated, cup size is not an exact measurement as we have seen a "C" by one manufacturer and style can be a "B" by another. The final size and shape of your breasts after augmentation depends upon your chest size, initial breast size and shape, the location of the breast implant ( sub-muscular vs. sub-glandular), and the size and shape of the implant.
Hope his helps.