Confused about 800cc implants. (photo)

Question

Had 500cc inplants in April from I was 36A pre op & 190lb they feel small. I'm now a C cup. If 200cc is about1cup size on 36back size then would 800cc inplant take me to between D/ DD? I'm having 700cc inplants next month but my surgeon says I can pull off 800cc.my friends who have inplants are warning me will be too big. I want them to look a good size without padded bra. worried 700cc is too small? If I lose 30lb will 800cc look stupid? I want big boobs but don't want to look like [RS bleep] star.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. 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.

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 revisionary 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” or "look stupid" or "porn star" etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.

I hope this, and the attached link (dedicated to larger breast augmentation surgery concerns), helps. Best wishes.

Matthew A. Galumbeck, MD · Answer

Thanks for your question and picture. Breast size is really a personal choice. Depending on your height, weight and shoulder width, 800cc implants may not be too big at all. You should discuss with your surgeon what you are looking to achieve and see what they have to say.

Karol A. Gutowski, MD, FACS · Answer

If you have a wide enough chest and breast, and 500 cc is too small for you, then 800 cc may be OK. Discuss with your surgeon.

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