How many ccs will I need to go from a 32AA to a D cup? (Photos)

Thank you for your question and your photographs. Many different factors play a significant role in deciding the best size and shape of the implant. The width of your existing breast, skin cover and elasticity, amount of existing breast tissue are just a few to be considered. Although a large implant is likely to give you a large volume and therefore a full breast, it is very unlikely that it will give you a good cosmetic result, looking natural and long-lasting. I believe that an in-depth consultation with a well experience in board certified Plastic Surgeon is the best way forward. Please do not focus on the number of the cc of the implants, but on the final result to be achieved in proportion with the rest of your body.All the best.Andrea MarandoPlastic and Cosmetic Surgeon, Manchester and London, UK

Good morning!Given your current photos I'm thinking more in the 500-600cc range to achieve a D-DD, but I would have you try on sizers in the office to determine what you felt looked best and gives you the most self-confidence!

Hello, Thank you for your question and photos. You are a great candidate for a breast augmentation! An in person evaluation is needed in order to give you the best recommendation. I would discourage basing implant selection solely on cup size. There are many factors that go into selecting the best implant. These factors includes desired outcomes and current breast measurements. It is important to be respectful to the boundaries of your breast and not select an implant that would be disproportional. An in person consult should be scheduled with a Board Certified Plastic Surgeon that specializes in breast procedures. Hope this helps and best of luck!

Depending on the individual anatomy and desired results, estimations and measurements and decisions about implant type should be made for each patient individually after a detailed mutual conversation. The elements that form up the breast shape and size and the overall frame can be different in each person. It will be best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Thanks for your question! I think most of us would agree that you really need to be seen in person to determine what size implant would work for your frame and your breasts. It is important to focus more on getting you a good result and less on the cup size. Please be sure to consult with a board-certified plastic surgeon. Good luck!

Dear missneedboobsnow,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question.  There are a multitude of factors that one must take into account when determining the size and type of breast implant that is best. First and foremost, you must book a consultation with a board certified plastic surgeon, preferably in person. Next, you have to consider your current size. You are very petite with little breast tissue. Using too large of an implant can cause issues and look unnatural. Instead of focusing on the amount, you and your plastic surgeon can discuss what size would be best for your frame.

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.
Breast implants can come in a variety of shapes, sizes, texturing, and materials.  For someone new to this, it can seem overwhelming.  So, as a plastic surgeon, I want to be able to make that a reasonably clear process for my patients and for them to understand their options and make a well informed decision that his right for them specifically. 

Currently, my "go to" implant is a smooth round device, which may be silicone gel, or saline.  Within the silicone gel implant family there are various options as well, mainly with different levels of how cohesive a silicone gel implant is, but also with the shape of the implant.  My most commonly used silicone gel implant is one and that is smooth and round with a cohesive level that has a great balance of being cohesive but also being very nice and soft and natural.  Personally, I will place a silicone gel implant either above or below the muscle, depending on multiple factors which I discuss during my consultation with my patient.

The more cohesive the implant is, be more that it keeps it shape, but that comes with the implant being slightly more firm.  When people refer to a "gummy bear" implant, most people are referring to a teardrop-shaped (anatomic-type shape) silicone gel implant, that is the most cohesive so that it keeps its shape.  This may also be referred to as a "form stable" silicone gel implant.   It is typically textured to try to help that implant stay in the proper position.  That implant can have its advantages in terms of making the upper portion of the breast have a more naturally full slope.  Some patients prefer that, while other patients prefer more fullness in the upper portion of the breast, such as what you more typically get with a round implant.  In a similar fashion, some patients are okay with the slightly more firm feel that you get with a form stable implant, and others prefer an implant that is softer and more natural.  Currently, with some of the controversy surrounding textured breast implants, I am pretty much only using smooth round breast implants.

A saline implant can also be a good option.  This is typically more straightforward from a monitoring standpoint, in terms of whether the implant is leaking or not, but it does not tend to feel quite as natural.  Because of that, I put almost all of my saline implants under the muscle, in what is referred to as a "dual-plane" position to help camouflage the implant.  For a saline implant, I pretty much only use a smooth, round device.

I recommend consulting with a board certified plastic surgeon who has good experience with breast augmentation and even breast augmentation revision, so that you and your surgeon can come up with a plan specific for you.  Choosing the right plastic surgeon, with good experience and good outcomes and who communicates well with you regarding your desired result is obviously extremely important in achieving your goals.
Good luck and take care,Dr. Howell

I would stay closer to 400, you are quite slim and quite petite  I think 500 will be  bigger than you would like long term. long term you will do better with a smaller implant.

Hello and thank you for the question.  An in-person consultation is needed to give you a more specific 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. 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. 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