Is a 380cc Implants over the muscle too big for someone who is currently an A cup?

The cup to cc ratio is not a direct correlation.  An exam both physical and the ability to express ones goals and lifestyle is a must.  Additionally, measurements indicating breast width, nipple to mid chest separation is important.  Finally, in my practice, we have all prospective breast implant patients try on sizers with a black top.  This gives me an idea of the shape and of what the final c cup should appear.Finally, no single size implant will be the only correct implant.  Word of caution though should go out regarding on top of the muscle.  This increases all breast implant complications, this has been shown in the most recent Sientra study in our plastic surgery journal.

Thank you for your question.  The proper answer will depend on a physical examination and consultation with a board certified plastic surgeon.That said many patients have excellent result with breast implants in the 350-400 cc range.  However this will depend on measurements of your breast with an size and other measurements that will be taken during your evaluation.  For more information on choosing breast implant size please read the following link:

This is the most frequently asked question.The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California