335cc or 355cc? From 75A to full C cup or small D cup

Question

I need some help!! I'm 1m77, +/-54kg and an A cup, 75a. I was thinking of 355cc full Motiva under the muscle. But I'm a little scared it will be a little bit too big. And the next problem if I take 335cc full Motiva under muscle, I think this will be maybe a little disappointed that it's not big but to small... I want a full C cup, small d cup would not be a problem but if I got a small c cup I would hate it.

Daniel Barrett, MD · Answer

Dear Emmeline_official,
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

Tom J. Pousti, MD · Answer

There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. For example, I do not think that the generalizations of "200 cc equates to 1 cup" hold any validity or are helpful in any specific or practical way.  In my practice, I ask patients not to communicate their goals, or evaluate the outcome of the procedure performed, based on cup size references.
Ultimately, careful selection of plastic surgeon and  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 words such as “natural” or  "full C, small D 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  helps. Best wishes for an outcome that you will be very pleased with.

Robert M. Lowen, MD · Answer

There's not much difference between a 335 and a 355 cc implant.  When trying them on with sizers (actual implants) in a bra, patients have a hard time noting the subtle difference when they are trying on a range of sizes. 20 cc is only four teaspoons, so it's hard to be too big or too small choosing either.  If in doubt between two sizes, and having tried the next size up to make sure you are not going too big, women seem to pick the larger of the two sizers they are really considering.We measure the breast width, take into account pre-existing tissue volume, degree of stretch from nipple to fold, subjective goals and desires, correlate the implants volume with the breast volume to get nice breast fullness and upper pole fullness without excessive fullness, and then use sizing bras and gel sizers. Using this method (Tebbets High Five) patients generally are quite sure of the volume they want in one or two sessions before surgery.

Ajay Mahajan, MD, FRCS (Plast) · Answer

You need to be examined in person to determine what would suit you best. When choosing an implant, the surgeon is guided by what the patient desires. It is then essential for the surgeon to examine you, take some measurements and recommend what would suit your body. You breast base diameter determines what size implant you can have and how big you can go, and yet look natural. Although, various morphing softwares can help give you an idea of what your augmented breasts might look like, it is important for you to try sizers in garments to help you get a 'real' 3D feel and also give you an idea as to what it would feel like to carry that extra weight. The Biodynamic breast analysis system is an excellent method of helping patients choose their implants. 
  
Whilst it is nice to have larger boobs, it is equally important for them to look as natural as possible. As a general rule, the larger the implant, the harder it is to hide them. One should also take in to account the weight of the implants. The larger the implants, the heavier they will be and this can have adverse effects on your breast envelope. The breast can end up being droopy with a stretched skin envelope in future if the implants are heavy. This may necessitate reducing the volume of the implant and doing a breast uplift procedure in future.
  For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  It would be helpful to view pictures of your breasts.  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.   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.  FACS

Harvard-trained plastic surgeon

335cc or 355cc? From 75A to full C cup or small D cup

Answers (10)

Answer: Implant volume for #breastaugmentation with #breastimplants with #PlasticSurgery

Answer: Implant volume for #breastaugmentation with #breastimplants with #PlasticSurgery

Answer: Breast augmentation, 335 vs 355cc

Answer: Breast augmentation, 335 vs 355cc

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

335cc or 355cc? From 75A to full C cup or small D cup

Answers (10)

Answer: Implant volume for #breastaugmentation with #breastimplants with #PlasticSurgery

Answer: Implant volume for #breastaugmentation with #breastimplants with #PlasticSurgery

Answer: Breast augmentation, 335 vs 355cc

Answer: Breast augmentation, 335 vs 355cc

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.