Worried that 400cc is not going to big enough! Any suggestions?

Have you tried sizers to see how you look? That’s a good way to see if you’ll like the result. An implant will not lose CCs when placed under the muscle. It may be flattened out at first, but with time, your tissues do relax and your implants will fluff out, assuming a more natural shape.You should know that bra sizes aren’t standardized, so when you say you want D-DD, make sure that you bring a bra in that size when you try on sizers at your surgeon’s office. It is not uncommon for one bra to be labeled a C and another a D even though they’re actually the same technical size. Make sure your surgeon understands what D-DD means to you.

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, and computer imaging) will be critical. 









 In my opinion, it is not possible to accurately determine how many CCs the you would “lose” when undergoing sub muscular breast augmentation surgery. I would suggest that you do not make your decisions based on statement such as: “you will lose 25 or 50 cc of volume when breast implants are placed under the muscle”. These statements are simply not reliable enough to utilize clinically. 











***Given that your surgery is coming up soon (and your ongoing concerns), I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.











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. I have found that the use of 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. Best wishes. 

If there are doubts about sizing, then you should contact your surgeon before surgery. If you need to change the implant size, it's important to know ahead of time so that additional implants can be ordered.