Choosing the Right Implant Size, Is This Okay?

I am Currently 5'7 with 36 A bra cup. I am considering a moderate plus round smooth silicone implant 304 cc and hoping to get to a small C post op. Do you thing this is a reasonable expectation?

Doctor Answers 16

Sterile disposable breast implant SIZERS tell you best implant size.

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1)  I am surprised other surgeons don't talk about this.  Your plan sounds reasonable, but it is just an educated guess!  There is no need to guess.

2)  This is what I think is the best way to proceed.  Your surgeon should have a very clear idea of what you want to look like (cup sizes are no good, you want real pictures).  Your surgeon should also have in the operating room an inventory of different size implants.

3)  Then during surgery, your surgeon puts sizers (just like implants but disposable and not expensive) into your breasts.  That way, one can see exactly what look a particular size gives you.  Different sizers are put in until the right look is achieved.  Only then are the actual implants taken out of their packaging and put into your breasts.  No guess work!

Manhattan Plastic Surgeon

Implant and cup size ratio

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If you are a size 36 A each 200 cc's of implant corresponds to 1 cup size change.  A 300 cc implant would take you up 1 1/2 cup sizes and may achieve the small C you desire.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Implant Selection Process

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In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

Sizers help you 'see' what you will look like

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And you should find a surgeon that can allow you to use sizers in their office.  I find that increasing whatever size you liked in your bra by 10% more accurately achieves the look yu have with the sizer in your unpadded bra.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Reasonable expectations

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Dear Reasonable Expectations,

It Sounds as though you have reasonable expecatations but the best way to make sure size is correct is with sizing systems implants ( i use mentor) and Virtual reality sizing. crisalix. you can even do in comfort of your own home.

 3D Breast Enhancement Simulator

or  Do you own online consultation

Choosing the Right Implant Size, Is This Okay?

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To get the most predictable outcome following breast augmentation, implant dimensions need to be matched to your chest wall dimensions.  Implant profile (moderate, moderate plus, etc.) helps to determine not only final cup size but also the shape of the breast following augmentation.  Using round implants, a moderate plus profile implant will result in a more natural appearance when compared to a high profile device, which will create more roundness (fullness) at the upper pole of the breast.

Using implant sizers (selected based upon chest wall measurements and desired post-operative breast shape) during your consultation should provide you with a good idea of your post-operative breast size and can simulate breast projection with different profile implants.  Achieving your desired post-operative appearance is more important that a particular bra cup size, as cup sizes vary widely depending upon the bra style and manufacturer.

Craig S. Rock, MD
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Breast implant sizing

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Thank you for your question.  This is a very common question and one that tends to cause a great amount of angst with patients.  To answer your question briefly, yes, that general size should get you close to a "c" cup.  Now for the longer answer.  Many surgeons are turning from simple guess work to a more dimensional analysis of your chest and breast to determine what implants will work for your.  Your breast has a "footprint" on your chest wall, where the breast sits on your chest.  To obtain a more "natural" look, the breast implant will need to be within the width of your breast.  Any larger, and it will tend to get pushed out to the side.  Then, depending on the "fullness" you are looking for, an implant size can be narrowed down.  Mentioning  a cup size for the bra is helpful, but it can also be a moving target.  Many bra manufacturers size bras differently and no guarantees can be made no matter what technology is utilized to estimate an implant size.  Finally, pictures of breasts that are similar to the look you are going for is also helpful to give your surgeon an idea of your expectations.  All of this put together helps to determine the correct size for you.  It is always best to meet with a board certified plastic surgeon that you feel you can connect with and trust and the two of you can come up with a perfect implant for you.

Best of luck.


Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 37 reviews

Choosing the wright breast Implant!

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Why not, but a consultation is necessary to tell you which implant will reach close to your desire and expectations. Volume, filling, texture, projection, shape, plane, incision sites are all crucial decisions that will affect the outcome and should be taken only during a consultation.

Choosing the Right Implant Size, Is This Okay?

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Without photos or measurements, we cannot recommend an implant size. Silicone moderate plus implants is what I use most, but the most important thing is getting the correct base width so that implants look natural and minimize the chance of complications.  The best thing is to get several consultations with qualified Plastic Surgeons.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.4 out of 5 stars 40 reviews

Implant size question

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I agree witht the general theme of the posts that it is hard to give you advice without pictures and breast measurements and an exam. All of these are important steps to help pick an implant that will make you happy. I use sizers and then have you look in my pre and post op book which helps a great deal. You are tall and this allows for a larger implant then you would use on a shorter person. Please see a board certified plastic surgeon and if you trust  he or she then relax as it seems you have articulated well your goals.

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 62 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.