What size implants should I get if I am 5'4", 115 pounds and looking to be a D/DD cup? (Photos)

Thank you for your question.  Choosing what type and size of breast implants can be difficult.  A good starting point is to book an in-person consultation with a plastic surgeon who will understand your overall goals, take measurements, and assess skin tone.  These factors will help to determine implant type and a size range that best suits your frame.  You may have the opportunity to try on sizers that will provide you a general sense of your size after surgery.  Lastly, it is difficult to predict a cup size post surgery as each bra manufacturer has differing standards for sizing.  @yorkplasticsurgery

Selecting a breast implant to suit your goals involves multiple variables but for the cup size goals and starting points it would sound like your PS would be in the right neighborhood. A consultation including imaging could help but think of a cup size being between 150 to 200cc so a 400 cc implant could increase you over 2 cup sizes. Height of the implant will give the projection you need or don't need.

It’s very difficult to predict a specific cup size after breast augmentation. The answer depends partially on how large your breasts were before the operation and what size implants are being put in, but also what brand of bra. There is really no consistency anymore between what a “D” really is from one brand to another. One woman may be a double d in one brand and a c in another. The best way to judge is to try the implants at your sizing session and see if they look right for your frame and whether they look like what you picture a D cup should look like on you rather than focus on what the actual letter in the new bras you eventually buy are. Hope that helps!

Hello and thank you for the question.  An in-person consultation is needed to give you a useful advice and I would suggest that you discuss this with your plastic surgeon. Many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. Use of 'goal pictures' is  also an effective way to communicate your goals with your plastic surgeon. Generally speaking, each 125-150 cc corresponds to one cup size. So My best advice is that you communicate your goals and aesthetic ideals with your surgeon as clearly as possible and trust your surgeon's skills and abilities to deliver what you are looking for.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Thanks for your question and photos. Generally speaking, for a bra band of 32, each cup size is about 125 cc. It's not a perfect rule for determining which implant will work for you, but it's a decent guide. So for a three cups size increase, it can mean a 375 cc implant to get you there. So 350 is close, so is 415. The Natrelle Inspira implant which has 415 is a full profile implant (translated to relatively high profile) which makes sense considering the apparent width of your breast based on photos. To make a final decision, you need a careful examination to make sure this will work in your particular situation. I am a big fan of photographic three dimensional evaluation. I use the Vectra system which allows you to see yourself in three dimensions as you are now and as you wish to be. The system allows the surgeon to pick specific implants, not just volumes. Best of luck with your surgery.

Remember that there is no standardization of cup sizes between sizes used by bra manufacturers.
An ABPS board certified plastic surgeon will be able to guide you to the correct size implant for your measurements and desires.  Measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. If you want more volume, the implant profile can be shifted from a moderate profile implant to high profile implant. 
None of the modalities to approximate final results from breast implants are 100% accurate; they merely facilitate the patient and the board certified PS concurring on the size and type of breast implant which will come the closest to reaching the patient's goal. My patients prefer to try on sizers under garments they typically wear to determine if they fit as expected and help allay some of their trepidation associated with this decision. When you consult again in office with your PS, ask to try on a profile bra with silicone moderate and HP 350 and 415 cc sizers under garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected.  I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision. 

Hi.  To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation.  Opinions and preferences will vary somewhat from one surgeon to another surgeon.  Personally I start with the base width of the patient as the starting point for the footprint of the future implant.  Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile.  I go over all of that all in detail with my patients at the time of their consultation.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area.  He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care,Dr. Howell

Great question!  Implant selection is tricky to discuss in a forum like this because there are many variables and factors that go into choosing the right implant.  Although we have your wish photos, we need to see what you look like, and also need to know your breast measurements, specifically with width of your breast.  It is crucial to pick an implant that fits your breast diameters first, then decide on the type of profile you like.  This will then result in a handful of sizes that will fit your body.  So the sizing is actually the very last thing to be concerned about, its more important that the implant itself fits your body.  Therefore a consultation is a very important process in determining breast sizing.  Seek a consultation with a board certified plastic surgeon and go with the one you feel most comfortable with.Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

No one knows what size implant is required to give a patient a particular cup size; it's guess work at best, even when the patient's breast size is known (something that we don't know with you), and leads to significant patient satisfaction when the bra size does not match the requested bra size. Instead, using purpose built sizers and bra, a patient can see in real time how they will look with a known volume, so that the surgeon and patient can agree on the correct implant size based on appearance, not a bra size. 

I tell my patients that I cannot deliver a specific cup size since there is so much variation in manufacturers of bras. One important thing is the measurement of the breast width. If a big implant is placed beyond the width of the breast then it can make the patient look heavy set. But I do think that an in person evaluation with a board certified plastic surgeon will be really helpful.