Will a 380cc Implant Achieve my Goal of B-D/DD? (photo)

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. 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, lift, etc). 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. 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. Hope me that this helps! Best wishes for a wonderful result!

       Judging from the pictures and apparent chest wall width along with current volume and your own bra size estimate of a small B, I would say that you will be a large C or small D, but not a full D (however, this estimate could be more precisely estimated with a measurement of your chest wall width).  Consider though that a larger implant may exceed you maximal chest wall width, and your plastic surgeon may not put in a larger implant.

380 cc breast implants is a reasonable recommendation to move from B to DD cup. The size of the implants are based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking
augmentation, the surgeon needs to evaluate many factors including soft
tissue coverage, skin laxity, chest wall width, breast imprint width,
the shape of the breasts and relative level of constriction to ensure
that the breast implants are appropriate for your body.

Women generally need 150-200 cc to increase a cup size.  Therefore, depending on your frame, you may need more volume.  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

The proper sizing is based on your breast diameter, height, weight, and chest width and anatomy. The higher the profile of the implant the less natural/soft the final look will be.

 I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Dr. Basu
Houston, TX

There are no fixed definitions of cup size, so your question is hard to answer in a useful way. I would suggest trying on implants at your surgeon's office, then reviewing whether your own anatomy will allow for a nice result with implants of that approximate size. Many surgeons who reply to posts on this site suggest fill volumes of 150-250 cc per cup size increase.  If they are correct, you may find yourself a bit smaller than you seem to describe as your goal.

Thanks and best wishes. 

Most likely a 450 cc UHP would be the better option. But best to seek more in person opinions in UK. 

The outcome of the breast augmentation depends on your breast tissue, implant size and your surgeon. You have perfect breast tissues for augmentation,but there is limited amount of breast tissue to cover the implant.  If the D cup is the the most important to you then you need bigger implants,but you will have problem later. Your breast tissue, based on the limited evaluation from pictures, would have the best result with 300 cc impant.  This will give you C cup. 

 

If you think 380 cc's is the correct implant a good estimate to see if this is correct is to perform a baggy test.  Good luck.