I'm 5'1 108 lbs. Bra size 32B will 535 cc saline UHP be too much for my petite frame? I do want a D cup.

At size 32 B each 100 cc’s of implant corresponds to 1 cup
size change. 500 cc implants will take
you up 5 cup sizes to size G. 535 cc
implants will not fit retro-pectoral, will extrude inferiorly and laterally
requiring revision. 22% of women who
undergo breast augmentation alone require revision within 2 years because they
are dissatisfied with the result. A
frequent cause of dissatisfaction is over implantation. I always recommend small round textured
silicone gel implants placed retro-pectoral since they look and feel more
natural, are more stable, less likely to ripple or have complications needing
revision. Implant profile is irrelevant
in the retro-pectoral position since the muscle compresses it. Best Wishes,Gary Horndeski, M.D.

There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.I hope this helps. Good luck!

    As an average, 200 cc may increase by one cup size.  400 cc would be two cup sizes.  For smaller women, the volume required may be less.Kenneth Hughes, MDLos Angeles, CA

Dear Lisa,As far as how many cc's are best for you, a physical examination to obtain measurements of your chest wall and breast width would help to answer your question more accurately. Since cup size is a ratio of breast volume to chest circumference it is tough to estimate exact post-operative bra sizes. Another confounding factor is that there is no standardization of this ratio by bra manufacturers. Keep in mind, the goal is not a specific bra size but a look you are trying to achieve.One tool I find helpful is Vectra 3D imaging, where I can virtually implant the different sizes and styles of implants. The 3D image of your chest morphs into a pretty accurate representation of your final result with some limitations of course.The use of high and ultra high profile implants is usually reserved for patients with very narrow chests.  Please consult with an experienced plastic surgeon so that they can explain to you which implants would be best for your body.   Hope this helps and best of luck. 

Although it is difficult to  assess withough photos, it seems to be too large.  There are other variables that are important for that determination. Breast base diameter and skin condition are important factors. If the implant base is much wider than the breast  base, risk of synmastia (implants meeting in the midline) is very high. This may apply to you. Also, if your skin envelope of the breast is very tight, this large of an implant may not fit. The issue of proportionality, however, is very subjective, and only you will be able to assess that eventually. Nonethless, this large of an implant on a petite frame greatly increases risks of complications. A careful reconsideration is recommended. 

Discussing your goals (or evaluating the outcome of) for breast augmentation surgery in reference to a specific cup size is NOT a good idea and can be a source of miscommunication. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as   “natural”  or “C or D cup”  etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate. The use of computer imaging may be helpful during this communication process.3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.I hope this (and the attached link) help. 

Without photo's it is difficult to say and all of this is theoretical advice. Unfortunately, there is not a way to know exactly what bra size to expect after a breast augmentation. What I urge patients to understand is that the goal is not to fill a particular bra, it is to achieve a particular look. If that look is also a D cup, then so be it. Bra sizes are dramatically different depending upon who is measuring and what brand is being fitted. Having said that, cup size is one of the only ways that you, the patient, has to communicate with me, the surgeon, about what you want. Until a few years ago, that was the best system available.Things have changed with the use of systems like the VECTRA 3_D imaging system, however.This system takes a series of HD pictures of you and turns them into a 3-D version of you on the computer. You can then try on different size, style and manufacturer implants. You can see how you look in and out of clothes, in a bathing suit and so on. Although it is not a perfect representation of your results, it is a really valuable tool to allow me to understand what you really want to look it. VECTRA has truly changed the way a breast augmentation consult occurs in my practice and it is a tool that I think is critical to your best result.Best,Dr. Pyle

Thank you for the question.To best help you, a physical examination or picture evaluation is required in order to determine which procedures and techniques would be best for your case.Dr. Campos

In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape. Many times this simply raises
more questions. I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.



Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

Without an evaluation in person, it is difficult to say what the volume will give you in terms of cup size and to determine if they will be too big for you.  A baggy test may give you an approximate cup size when you try them on.