Flat Chested Woman Going To a C Cup With Silicone Gel Implants. What Size/cc's Should I Go With?

this is a common question.

what is your chest size?

36   a to c      375 -400 cc

34    a to c      325-350

32  a  to c        250- 300

these are general ranges  but most women dont wear the correct size bra

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!

Moderate profile gel implants up to about 397 (Allergan) will fit a base width of 13.0 cm.  397 cc usually gives a nice, full C cup for a 34 A woman.  339 (Allergan) or 350 (Mentor) is also usually a C cup but more smaller or more conservative.  

Since many women say that they wish they would have gone a little larger, and since an implant that does not exceed your base width does not increase your risk of problems, the final choice would be completely subjective and based on your own preferences.

In our office, we would have a patient try on a 34 A bra, for example, and all the implants up to her base width to see which ones she likes.   If all were too small, we would try the high profile implants because up to 500 cc still fits in a 13 cm breast width.  Then the patient would decide if she liked the high profile or moderate profile implants and make her own decision. If she did not like the high profile, then the largest suitable size would be 397 or less for this example.

If you have very little breast volume now, and want to be a full C, my recommendation would be a high profile submuscular implant.  Mid-range profile will get you to a full B-small C in most bras.  Doctors prefer smaller implants because we avoid problems such as rippling/wrinkling, nipple numbness, implant visibility/palpability, skin stretching, PLUS, breasts augmented with smaller implants appear more natural and proportionate to your body.  The MOST natural, after all, is what you have now.  Many women however, really want some additional fullness, even knowing about the above potential issues.  My advice:  try high profile in the office, compare to mid range profile, and decide which YOU feel most comfortable with.

the most important decision in breast augmentation is choosing the right breast implant size. cosidering that the most common complaint after breast augmentation is not going big enough, I suggest that you always choose the larger size. It is alo important to consider your body frame in order to pick an implant that fits your figure. It is not how big or what cup size, but more importantly if it goes with the rest of your figure. Finally, I suggest that you try on different size breast implants in a bra on your self, and check things out in front of a mirror!