Is 385CC enough to get me to a D cup? 5'2, 140-150lbs? (photos)

Dear Affectionate50703,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Good morning,
the 385cc sounds about right and should give you that look, but there is another variable in play- ask your PS how much tissue they plan/anticipate removing during the lift- is it equivalent to 25cc? 50cc? 100cc? That can totally change the size of the implants necessary to give you your goal size and look. In my practice I would have this discussion preop- so you like the 355cc sizer- that means you need 385cc to achieve that look, BUT if we remove 30cc of skin and tissue then you really need the 415cc implant to make up the difference. So then I take multiple different implants to the O.R. to be prepared for what may need to be used, with the patient's consent of course. Lifts make sizing more difficult and have to be a little more open-ended size-wise to achieve the best possible size and look!