How many cc's to obtain a full D cup? (photos)

Question

I'm currently a B cup and would like to be a full D. Can't decide between 400,425 or 450 cc's. I don't want to big either. More like Salma Hayek or Tawny Taylor.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  It is very difficult to tell you what sized implant you would need to be a full D cup.  It appears from your photos though, that you would benefit from a breast lift with implants.  Please be seen in person by a board certified plastic surgeon to determine what would be best for you.All the best,Dr. ResultsMiami, FL

Ali Riza Öreroglu, MD · Answer

Depending on the individual anatomy and desired results, estimations and measurements 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 is also possible that a breast lift may be indicated for your case. 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.

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. Based on your photographs, it is likely that you will benefit from breast lifting surgery also.  Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery.

Also, patients undergoing the combination breast augmentation/lifting surgery should understand that there are limits as to how large of an outcome can be achieved, given that breast lifting surgery does involve breast skin removal.  On the one hand, breast augmentation surgery is expanding the breast skin “envelope” while breast lifting is (by definition) tightening up the breast skin envelope. These 2 forces are counteracting each other. Therefore, it becomes important to remove the appropriate amount of breast skin and to use the appropriate size/profile of breast implants to balance these 2 forces appropriately and to allow for achievement of the patient's goals while minimizing risks of complications.  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. 
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 "full D cup” or "big" 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/lifting surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Joseph L. Grzeskiewicz, MD, FACS · Answer

We get so many questions along the lines of "what is the best size for me," and unfortunately that is something that really needs to be determined in person.  The best way for you to figure out the optimal size implant to meet your goals with your body type and current breast size and shape is to undergo an in-person sizing exercise with your surgeon so that you can actually see what your body will look like with different sizes of implants in place.  Getting ideas in an internet forum like this will only provide you with rough estimates, and they won't be accurate.  Additionally, I would encourage you to think more in terms of you body proportions and appearance, rather than simply being set on a particular cup size for your bra.  Sometimes we are surprised by the cup size of the actual bra that fits the breasts we really love, so for me, cup size is way down the list as a valid indicator of what size implant to use. In addition to these considerations, it appears from the images that you have posted of your own breasts that you may have some loss of tone and ptosis, or drooping, of the breasts, and in these cases we sometimes recommend a lifting procedure together with breast implants to meet your goals, especially if your goal is to look similar to Tawny Taylor as you have shown.  Again, though, this is something that really can only be determined with a personal consultation. Make sure you select a surgeon who is certified by the American Board of Plastic Surgery, as that way you will be sure to have the right expertise to help you decide the important issues surrounding your surgery.  In addition to being certified by the American Board of Plastic Surgery, your surgeon should also voluntarily participate in the Maintenance of Certification program administered by that board. This is the best way to know that your surgeon not only has the best training and experience for the procedure, but that he or she has maintained currency in the certification requirements as opposed to practicing on a "lifetime" certificate which has only been reviewed once at the beginning of his or her career. For more information on this you can visit ABplsurg.org or ABMS.org. Good luck.

Jaime I. Flores · Answer

The difference between 400-450cc is not that much. To be a full D I would go to the higher implant 450cc; that would look more like 400cc once it's under the muscle and your breast tissue.

William H. Jervis, MD, FACS (in memoriam) · Answer

if your photos are the person with the red clothing, then you may not need implants at all, just a bilateral breast lift.  Also looks like at least D or DD already.  In general the use of inflatable sizers during the procedure is helpful in determining which size to open, and also helps to determine shape as the spaces can be altered, as well as getting as much symmetry as possible if sizers are used on both sides.

Vincent D. Lepore, MD (retired) · Answer

Unfortunately, a "D" breast cup size is not a scientific measurement and therefore a Victoria Secret D is different than a Playtex D.  That said a 25 to 50 cc difference between the 400 to 450 cc implants is minimal and probably won't affect cup size.  However, from your photos, I believe you will need a breast lift to achieve your goals.  Be sure to ask your surgeon about this.  Best wishes, Dr. Lepore.

Fred Suess, MD (retired) · Answer

Twenty five CC is less than two soup spoons. Your pictures appear the show more than a B cup. I think 425 CC should be enough, maybe more than enough.

Ronald V. DeMars, MD (Retired) · Answer

It takes an exam for determination of implant size. The number of cc's will look different on each patient. But you really need a lift if you are going to have an acceptable result.

M. Dean Vistnes, MD - Account Suspended · Answer

The difference between 400 cc and 425 cc in implants is almost insignificant. Implants should be selected based on matching the base width of the implant to the dimensions of your own  body and what you need to achieve the look you want. Then the volume can be selected (cc's) to make you the size you are comfortable with. Without a photo it is difficult to be more precise. For your frame a 400 cc implant is definitely not huge, but remember a natural result has more to do with correct implant selection that matches your body, proper placement of the implants, and avoiding capsular contracture or bottoming out after the surgery. Hope this helps. Good luck!

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