Hello and thank you for your question! I want to start off by telling you what I tell many of my patients: Do not focus on cc's or bra sizes as many women see their friend with "x" number of cc implants etc and think that they have an idea of what they want. There is a lot that goes into implant selection -- your breast volume, the amount of cleavage you want to achieve, your base width, your rib shape/projection, etc. Also, when it comes to bra sizes, most women are not accurately sized for their bras. Please keep in mind that a breast implant is a round object and has a certain diameter. Your base width on each side of your chest will determine "how big of a ball" or what diameter implant you can reliably go up to with a socially acceptable cosmetic outcome. The implant will "augment" or increase the size of your breasts to an amount acceptable to you and your surgeon. There is no correlation between height and weight and base width; therefore you need an in person examination to be accurately measured.The most important thing to consider is really the size and look that is appealing to YOU with the implants you choose. Many surgeons have sizing models whether using bras with implants or computer simulation. I encourage you to discuss with your surgeon many of these considerations when deciding which implant and size to use during your surgery. My patients will try on a sports bra and then we pick the implants based on their measured breast base width. For example, if your base width were to support for example up to a 650cc implant, I would have you try on the 650cc implants in the bra and then the 600cc or 550cc implants and afterwards select the implant that made YOU the happiest. In reality, don't stress too much as this is not a HUGE difference and should be the fun part of the process. Go with what is acceptable based on your measurements and makes you happiest, and make sure to weigh the pros and cons of the options you are considering. You can also compare the different profiles such as high profile implants with extra high profile implants and see which look you like most. The profile of the implant will determine how much upper pole fullness and overall projection you portray. If you were my patient, I would have you try on implants of both styles and see what shape and size made you the happiest.Make sure to seek consultation with a board certified plastic surgeon with expertise in aesthetic breast surgery. If you are uncertain about the advice given to you by the surgeon whom you met with recently, I recommend you seek second opinions with further consultations to help you in making a final decision. I hope this helps answer your questions and I wish the best of luck to you!Sincerely,Dr. Sean Kelishadi
The best cosmetic result in any particular breastaugmentation patient depends on a variety of factors, including: Yourindividual anatomy, desired outcome, realistic expectations, a thoroughdiscussion with the plastic surgeon about the options, and an understanding ofthe pros and cons of any particular implant choice. Proper sizing is not justabout the number of cc’s. The thickness of your tissue, breast dimensions whichinclude the width, height, and projection, as well as chest wall width all needto be considered when choosing an implant. Trying on implant “sizers” ofvarious shapes and volumes while wearing a tight t-shirt, bra, or bathing sitat a preoperative visit will help you and your surgeon choose the optimalimplant.There are no manufacturers' standards for cup sizing in the bra industry. Thecups of a 32D- DD+ and a 38 D-DD+ are significantly different. Cup size varies frommanufacturer to manufacturer and even within styles from any particularmanufacturer. There is also no direct correlation between an implant size orshape and resultant cup size.Keep in mind that following the advice from a surgeon on this or any otherwebsite who proposes to tell you exactly what to do without examining you,physically feeling the tissue, assessing your desired outcome, taking a fullmedical history, and discussing the pros and cons of each operative procedurewould not be in your best interest. I would suggest that your plastic surgeonbe certified by the American Board of Plastic Surgery and ideally a member ofthe American Society for Aesthetic Plastic Surgery (ASAPS) that you trust andare comfortable with. You should discuss your concerns with that surgeon inperson.Robert Singer, MD FACSLa Jolla, California