How Many Cc's Should I Get for Saline Implant, Looking for a Full D Size?

I'm 5'3, medium frame, 158pounds, more muscle then fat, looking for a full D. I would like that natural round look for my breast. I'm wondering if 500cc HP SALINE would be good for my frame? At the moment I'm a small B, no breast tissue on top, and some on bottom, saggy boobs..I have one kid.

Doctor Answers 9

D cup from B cup

As others have stated, this really requires an physical exam to answer.  However, a high-profile 500cc saline implant in someone 5'3" seems like a high risk of having an unnatural result.  The most important thing you said regards the sagging of the breasts.  Sagging breasts with a large implant result in large sagging breasts.  You really need to consider whether or not a breast-lift (mastopexy) is needed.

Louisville Plastic Surgeon
4.9 out of 5 stars 21 reviews


First of all I would consider the latest technology saline implant made to feel like a silicone implant called: IDEAL implant. It is very difficult to determine the exact size and shape saline 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 350 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. . 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.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Size wise you are in the right range


Just considering the numbers that you have provided you are in the approximate range to go from a B cup to a D cup.  I would recommend trying on that size implant to verify that that is in fact the cup size that you would like to achieve.  Another thing to consider is the "natural" look that you want to achieve.  You are describing some breast tissue sagging which may indicate that you are also in need or a candidate for a breast lift.  Discuss this with your plastic surgeon. 


All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews


In our practice we like to say that 225cc equal one cup size. If you're a B cup and you want a D cup your in the right range. It's hard to really tell without an exam and our pictures.

Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon
3.3 out of 5 stars 9 reviews

How many cc's to get?

Thank you for your question.

In regards to breast size, the more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size.  This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone  and low/moderate/high profile), bra  manufacturer variance  in cup sizes, the  degree  of filling of the cup  with breast tissue,  and the subjective differences in patients perceptions of cup size.

If surgery is decided upon, it will be very important to communicate your size goals with your surgeon.  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 “C cup” or "fake looking" 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.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.

By the way, the most common regret after this operation, is “I wish I was bigger”.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,487 reviews

D Cup with 500cc Saline Implants

There are so many variables in your question that no one can really answer it with any accuracy. What your body and breasts look like, the degree of breast sagginess you have and your envisionment of what a natural D cup looks like all makes for any size result estimate as only a guess. It would likely be fair to say that a 500cc implant will probably make you a D cup but whether that will appear natural to you is another matter. Having an in-office consult using gel sizers would be the most helpful. 

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Saline implants for full D

Thank you very much for the question. The best way to address your question is through in person consultation. I would not do you any good giving you an answer online. The decision on implant size depends on multiple factors; breast shape and size, skin elasticity and what you desire. The other thing here is there is little correlation between cup size and implants size.

You need to see a board certified plastic surgeon and address these questions during the consultation. It will be helpful to you if you take photos of what you want to look and check the surgeons before and after photos. Good luck

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 15 reviews

How many cc from B to D

Hi, there is only one way to estimate how many ccs you will need to go from a B cup to D cup and thats to have a consultation with a board certified plastic surgeon and get examined and measured and also review several pictures of other patients to have a better idea. You may need a breast lift as well and only your surgeon would be able to tell you if you do or not.

Antoine A. Hallak, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 5 reviews

Implant size selection

Your question is likely the most common question with respect to breast augmentation.

I consider two factors when selecting implants for my patients:
1.Dimensional planning and  2.Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.

This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.

hope this helps!

Dr. Basu

Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.