We agreed on 405cc at my consultation. What size do you recommend for me? (Photo)

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Selecting an implant as one of the most important parts of breast augmentation. The importance of using your tissue based measurements cannot be highlighted enough. This is much like sizing a shoe, you have to buy the correct sized shoe in length/width/depth to prevent potential injury to the foot. Much like buying a shoe, selecting breast implants is critically dependent upon your breast measurements (breast base width, nipple to fold max stretch); this is utilized in combination with 3D breast simulation (Vectra, Crisalix, etc) to help the patient understand the outcome. 405cc might actually be too large for your breasts, but this is difficult to determine without having those measurements readily available / no physical exam. You need to see a plastic surgeon with actual plastic surgery training (6 years of residency in plastic surgery, ideally followed by an aesthetic fellowship accredited by The Aesthetic Society).

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hi, After reviewing your pictures, I can say that a 405 cc implant is a good implant selection in terms of size and results. Imagine that in theory you will increase 2 cups in a bra size. Bigger implants will be too big and you might not have a natural/aesthetic result. Best regards,Dr. Enrique Quiros Lim

Dear Schoolgirl13,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Often patients are told by surgeons that they should go with a certain size or they look at other patients and try to decide based on what size someone else got to get the same look. This isn't the best way to go about picking breast implant sizing.It's much easier than people make it out to be. Go to Ricetest.com and perform the rice test in all your favorite clothes. Pick the biggest volume you're comfortable with. The majority of time when people are unhappy with their implants initially it's because they wished they had went bigger. Once you have a volume in mind, a surgeon should then use that volume in an implant fitted to your chest, or whatever gets you closest to your goals.
Hope this helps!-Dr. Halka

Computer generated images can be a helpful communication tool but are never a guarantee of an outcome, so be careful with those. Use an in depth conversation with your plastic surgeon to make this determination and be HONEST! Do not worry about the number, go for the look you want and let your surgeon help you pick the implant that will reach your goals. I never push any certain implant size but have had way more patients end up choosing too small because a number "sounded big" than the other way around.
Good luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Thanks for your question! This is a fairly popular size in my practice. I think that if you like the way it looks on your body, that's all that matters! I do think the 405cc will give you nice cleavage without being too much. However, if you are in doubt, most people do not regret going one size larger. Good luck!

Picking a size depends on a variety of factors, including your current body dimensions and goals. Your surgeon probably selected a range of sizes dependent on those factors.

Sizers are a great way to see and feel how you may look after surgery. These are implants that you can place into your bra. Ask your surgeon if you can try on sizers in 405cc, and any other size that may be recommended.

Hello, I am Dr. Salvador Garcia, when we select the implant for the patient, we have to see first the measurements from your sternal notch to your nipple, secondly the measurement that we will leave your neckline, thirdly the measurement of your thorax, fourthly if the implant goes above or below the muscle and finally the patient's expectations, that is, the size of the bra she wants. With this, according to the brand of the implant, we can choose the correct measurement for the patient and make a simulation for an approximate result. If you want more information, we can schedule a video call or schedule a face-to-face consultation to give you our opinion on the brand of the implant, as well as the appropriate size and projection.