Thank you for the question.
Unfortunately, no plastic surgeon is able to accurately predict what cup size you will end up wearing after breast augmentation with a certain size implant. I suggest that patients not base their communication of goals or satisfaction with the results of surgery on achieving a specific cup size. As you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
In my practice I use goal pictures to communicate with patients. With this technique patients are able to demonstrate what they are trying to achieve and what type of looks they do not like as well.
I also 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 breast 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.
The best advice I can give two ladies who are considering breast augmentation surgery online 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 if communication will be critical in determining which operation and/or 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” etc 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.
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 helps.
I hope this helps.