I'm an AA-Acup. What size cup will I be with 600cc implants?

Question

I'm 5'9 135pounds. I have surgery in 12days. I'm not sure if 600ccs will be too much. My dream is a Katy Perrys type boobs

Asif Pirani, MD, FRCS(C) · Answer

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!

Scott W. Harris, MD, FACS · Answer

While no one can say with exact certainty what size you'll be with 600's, I look at sizing a little different... I ask patients not to worry about what size they'll be, but just to focus on whether or not the size they choose gives them the appearance they're looking for.That said, I think you'll be a full D or small DD which I think is what you're trying to achieve. So, good luck and I hope you love them!

Gary Lawton, MD, FACS · Answer

The best way
to determine the size that fits your personal perception of the perfect breast
is to try on sizers. This way you can see how they fit on you, how they add to
your current volume, and whether they fit your frame. Although the surgeon can
guide you, only you will be able to tell what is the right size. Try on sizers.
 Measuring a diameter and then telling the patient what volume they can
have (in high, moderate or moderate plus implants) in my mind is backwards. The
patients should be allowed to choose the volume. Then the surgeon carefully
considers the base diameter, projection, profile, manufacturer, and fill
material that will achieve the patients goals of size as well as qualitative
look (natural, intermediate, or bold upper pole fullness or projection), all
the while taking into consideration the patient's anatomic features that will
affect the outcome.  The experience of the surgeon and the degree to which
they explain the options to you is of utmost importance. The subtlety in the
final outcome is not achieved by which profile implant is used, it is
determined by the skill in the creation of the pocket, the choice of implant.
Don't let the doctor tell you what would look good on you. They cannot tell
what you perceive to be the best size. There is no maximum.  That is up to
you. If you like 600 cc then that is the right choice.

Jennifer Lauren Crawford, MD · Answer

I agree with the other docs who have answered already. 600cc is a very generous implant on anyone. You sound to be of a slender build. Just keep in mind that women are best served when the implant selected fits within their frame. And, large implants on a slim frame tend not to have much camouflage and so the 'falseness' of the result can be very apparent (more so than with a more conservative volume). I feel that most women's tissue and skin wears better over time with a more conservative breast augmentation. These are just things to keep in mind. I encourage my patients to read as much as possible when considering the implant chosen. Please don't consider bra size as your most important goal. Katy Perry does have a very natural and voluptuous look but if your frame is very different from her's, you will feel that you have a very different result.  I have attached a blog article I wrote for my group that covers a lot of topics in breast augmentation.

Robert D. Wilcox, MD · Answer

Dear asboobs,

At 5’9” and 135 pounds, you will be very large
with a 600-cc implant. I would encourage you to discuss with your surgeon
beforehand, ask to put sizers into your bra to get an idea of how large you
will be.

I hope this has been helpful.

Robert D. Wilcox, MD

Robert Singer, MD · Answer

The best
cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: Your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 D and a 38 D are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no
direct correlation between an implant size or shape and resultant cup
size.A 600 cc implant is  considered a very large implant for a cosmetic augmentation.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest that your plastic surgeon be
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Kenty Sian, MD · Answer

As a plastic surgeon, it is my duty to educate my patients about the risks and benefits of surgery and to make sure they have reasonable expectations regarding their procedure/s. If you are currently an A cup presumably with little or no breast tissue and minimal subcutaneous fat, there is a high probability that inserting 600 cc implants will not give you a "natural look". It may also put you at higher risk for complications including: rippling, implant malposition, implant extrusion etc.. If you have never been pregnant  before, your breast envelope is probably tight and it may be challenging to create a breast pocket that would readily accommodate a 600cc implant. I typically measure the base width of my patient's breast and this measurement helps guide me in my choice of the ideal implant for the patient. I presume your plastic surgeon has done this. If he hasn't, please make sure that he does.Good luck with your surgery.

Tom J. Pousti, MD · Answer

Thank you for the question.  There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. Given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.
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 are 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. For example, 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.  Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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,  after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast  augmentation surgery concerns) helps. Best wishes.

Jay Burns, MD · Answer

600 cc implants are very large implants for anyone. It is hard to know what cup size you will be without examining you. I believe talking about cup size is a less than ideal way to judge final breast size. Cup size perception varies from woman to woman. Also different bras fit people differently. You might be a D cup with one bra style and DD in another. I like to view photographs and agree with my patient on size. However, you have asked a very reasonable question that many women ask. You also have a very reasonable goal in wanting to look like certain women with attractive breasts. However you might consider the following truths when making a decision that most women don't realize at first glance. your final breast size is a sum total of your natural breast and the implant. Both of these volumes determine the final size of breast. when comparing your desires to other women's breasts you don't know what size of breast they had to start with, which is critical to consider. If you want to look natural then you need more natural cover to start with.e.g....if you place the implants under thin skin cover they are harder to hide than under a breast with thicker breast tissue. (it is harder to hide a marble under silk than a heavy quilt.)considering the point above there is no way even the best surgeon can hide a 600cc implant under your thin breast tissue and make you look truly natural. If you place a 600 implant under your A breast cup, the implant will be seen. Some women don't mind this, surprisingly, but it is something unavoidable if you go that large. other problems with extremely large implants are increased rate of hardness and migration called "bottoming out", stretch marks, etc...in summary, women want perfect large breasts but fail to consider that it is not possible in everyone. A quality breast augmentation is possible in most women, but the larger implant you choose the greater risk of issues there are to consider. I would recommend going over these possibilities in detail with your plastic surgeon. Good luck. Your desires are not unreasonable but you are searching for the truth and you deserve it. I hope this helps in your journey.

Robert Whitfield, MD · Answer

I would tend to say that is s large volume. Hopefully your frame can handle that. From your information it seems like you are tall and slender. Be aware of all of the implications for you long term. You can be sure that more breast surgery will be needed in the future.

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