38b bra size right now - if I get 600cc saline breast implants what sports bra size and bra size will I be?

Hello and thank you for your question.  It is difficult to predict the exact bra size.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants

I appreciate your question.





It depends on your chest wall measurements and existing breast tissue as implant size does not accurately correlate to a bra size.  It also depends on the brand and style of bra you wear as size varies from manufacturer to manufacturer.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz

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 breast
augmentation patient depends on a variety of factors, including: Your
individual anatomy, desired outcome, 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 32D- DD+ and a 38 D-DD+ 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.
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

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, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.





 







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 know words such as “natural” or "D or DD 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. You will find a separate page, on the same website, dedicated to "larger" breast augmentation surgery concerns.  Best wishes for an outcome that you will be very pleased with.

Impossible to give a precise answer due to the variability in fit of different manufacturers, however I would ask you to consider whether you are better off with saline or perhaps silicone implants.  Such large implants tend to ripple more and especially so with saline.  Just a suggestion to discuss with your surgeon.  Best wishes,

Jon A Perlman MD FACS 



Certified, American Board of Plastic Surgery 



Extreme Makeover Surgeon ABC TV



Best of Los Angeles Award 2015, 2016 



Beverly Hills, Ca