Will 400 Cc's-425 Cc's Give Me a D Cup? If So, Are They Too Big for my Frame?

Question

Hi! I am a 5'2", 110 lbs and am going to get a breast augmentation in a few weeks. Before my pregnancy, I was wearing a 34C. But during my 13-month span of breast-feeding, I was a 34D. I am now wearing a 34B bra with a full A/small B breast size and wish to return to a size 34D in order to fill out my stretched skin. Are 400 cc's or 425 cc's too big considering I have slightly broad shoulders and a slight protruding rib cage?

Ryan Neinstein, MD, FRCSC · Answer

Hard to answer obviously without pics and a physical exam but usuallty in someone like you 400cc will get you in the D range, GOOD LUCK

Lewis Albert Andres, MD · Answer

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!

Stefan Mark Szczerba, MD · Answer

At 5'2," with a history of stretching out to a D cup during pregnancy and a C cup before pregnancy, I don't think a 400-425cc is too big for you. Every 200cc will increase you size about 1 cup size. In my practice you would come in for a final visit and you would actually try on a range of sizes from 375-450cc and you would bring in your goal bra with you.

I encourage as many visits as it takes until you are very sure about your implant choice!

Best Wishes!!

I encourage as many visits as it takes until you are very sure about your implant choice!

Best Wishes!!

Vivek Bansal, MD · Answer

You are wise to pay attention to the rib cages and shoulders as they both are factors in determining the size of an implant. Do not allow yourself to have size determined solely on cup size. Bra manufacturers vary greatly in their sizing. A “B” in brand X is a “C” in brand Y, etc. The sizing is all over the chart so decide the size on how the fit is relative to your frame. Your Board Certified Plastic Surgeon will be able to help you determine how big you have to go to fill out the loose skin.

Roy Kim, MD · Answer

In general, it's good to concentrate on what you want, and the science of breast implants behind getting there.  If you want a D cup, then you should be able to use sizers or software pre-surgery to "visualize" a good volume for you. 

	 

	As you probably know, breast implants come in different volumes and profiles.  You want the best profile that fits your breast width and rib cage measurements.  Talk to your plastic surgeon, and he/ she should be able to go over your personal measurements to ensure enough volume, projection, width, and overall shape for your body. 

	 

	Thanks for the breast question, and have a great day!

Paul Gill, MD · Answer

I think this range will put you in D cup territory.  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

Christopher J. Inglefield, MBBS, FRCS(Plast) · Answer

Firstly - anywhere around 400cc will give you 2 cups size increase. Important to be aware that cup sizes vary greatly with different bras. The important considerations in planning your BA are your measurements of your breast and chest together with your desired size and shape. Your Plastic Surgeon should do a careful assessment and discuss the various options with you.

Tom J. Pousti, MD · Answer

t is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" 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 press 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 &ldquo;I wish I was bigger&rdquo;.
	I hope this helps.

Vincent P. Marin, MD, FACS · Answer

This is one of the most common questions that we see at this forum. The number of CCs is different for every woman. How much each implant fills out the breast depends upon how much existing breast tissue you have, the width of your breasts, elasticity of your skin, and the shape of your chest - just to name just a few. As a result no one can tell you exactly what a 400 or 425 cc implant will look like on your frame. They key to a successful breast augmentation is communication with the surgeon who is performing your surgery. Providing him or her with a complete understanding of what exactly you would like to look like as well as providing photographs of ideal 'outcomes,' you will likely be more successful in achieving your goals.

Best of luck,

Vincent Marin M.D.

San Diego Plastic Surgeon

Best of luck,

Vincent Marin M.D.

San Diego Plastic Surgeon

Steven Wallach, MD · Answer

What exact size implant and shape you need really depends upon your exam and desires.  This requires a consultation, and cup size does not always correlate with implant volumes.

Will 400 Cc's-425 Cc's Give Me a D Cup? If So, Are They Too Big for my Frame?

Answers (20)

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