I am 31 years old, 5'4 & 145 pounds. I have had 1 singleton pregnancy and twins; I breast fed all three. I wear a 36B, however, the B cup is not filled out in the top part of the bra--it's a little loose. I am getting smooth, round, moderate plus profile silicone implants. I would like to be a full C, but I don't want to look fat or too big. I have been told 370, 450, & 500 by 3 different docs. Based on my pictures, what cc would you recommend?
How Much Cc is Needed to Achieve Full C Breasts?
Doctor Answers 20
Difficult to say what size but it all depends on your measurement and what you are trying to achieve. Using sizers in the consultation or using the rice test would help you, this is a link to how to perform the rice test : http://www.feplasticsurgery.com/journal/orange-county-breast-augmentation-sizing/66/
One other thing that needs to be addressed is the fact that you are bit asymmetric and the lift size is somewhat more ptotic. You may need a circumareolar mastopexy to address this.
This is all discussed in consultation and after a thorough exam. Measurement are taken and sizes are determined at that time. I send patients home with an approximate volume that they should try out at home. If they want more or less they tell me. If it is within reason, then we go forward.
Choice of implants for a C cup
I don't have the benefit of your dimensional measurements but you do have a fullness in the muscles in your chest and the type of body that tends to look big quickly. Also at 5'4", you will look bigger quicker. I would say that the 450 and 500 implants would look very big on you for sure! I would also recommend a periareolar lift to elevate your low nipples and reduce the areolar diameter a bit. Check the photos on my web site.
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Achieving a Full C Cup with Breast Implants
Use 3D Imaging To Determine Size Of Implant
For this reason, multiple approaches are utilized to make this determination preoperatively.These include reviewing magazines, photographs, external sizers, and recently the 3D Vectra computer imager, to name a few.
Even when tremendous care is taken preoperatively to determine breast size, the final decision needs to be made in the Operating Room by the surgeon.At this point, an assessment can be made regarding how the patient’s breast tissue interacts with the breast implant.Occasionally, obtaining a specific size doesn’t allow the surgeon to meet the patient’s other aesthetic goals.For this reason, locking into a specific size isn’t always a good idea.The results are better when a surgeon has the ability to make adjustments in the Operating Room.
Furthermore, most patients tend to speak in terms of cup size.Unfortunately, cup size isn’t always helpful because manufacturers of bras label their products differently and women don’t always wear their bras the same way.In other words, some women wear their bras snugly, while others wear them loosely.This creates communication problems when talking cup size.
In your case, I think it’s important to thoroughly discuss your aesthetic goals with your surgeon.Make sure he has the latitude to do what’s best for you in the Operating Room, so he can meet your aesthetic goals.It’s important that you have an approximate idea of the breast implant size that you’re considering, but don’t become married to an absolute number.
Implant Size to achieve goal of move from B to C cup
The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.
Consult with 3 experienced and expert board certified plastic surgeons to understand your options.
1. Dimensional planning
2. Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.
How much cc is needed to achieve full 'C' breasts?
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, lift, etc). 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. 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.
Hope me that this helps! Best wishes for a wonderful result!
Proper Implant Selection
Unfortunately, there is not a general rule of thumb or objective criteria to implant selection to replace an in office exam and good communication with a board certified plastic surgeon.
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.