Deflated 34B going for 400cc. What can I expect?

Thank you for your question. It is very difficult to determine what your post operative breast cup size will be based on cc volume. However, we can estimate that approx 100-150cc equals one breast cup size. I would recommend an in-person consultation with a board certified plastic surgeon to help precisely measure and determine what breast implant size is right for you. I recommend trying on implant sizers as well as 3D imaging to help give you an idea of what to expect post op. Best of luck!

Dear debz82,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

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Hello and thank you for your question.  Without examining you in person it is not possible to accurately predict this but generally speaking a 400cc implant should be able to achieve your goal of a D cup.   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.  I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

 It is a common misconception that a bra size equals an implant size. The cup size will depend on many factors, like chest wall measurements, skin elasticity and the size of the implants themselves. It would be best to schedule an appointment with a board certified plastic surgeon for an in person examination and a detailed discussion of your desired results and the optimal surgical decision to give you great results.

Dear Debz82,
many thanks for your question. Without examining you in person this is very difficult to say. I would advise that you discuss this with your Board Certified Plastic Surgeon who can use a variety of ways to try to demonstrate to you what this additional volume will help you to achieve, including:
1) trying sizers on in clinic - gives you a rough idea of what you'll look like in clothing
2) The 'rice test' - this is something that you can do at home and try on your favourite dresses etc. to get an idea of the effect differing volumes with have on you
3) 3D scanning and simulation with the Crisalix system - this can be done in clinic and online access given to you to view things at home in your own time. You can then contact your Surgeon and request to see different sizes. 
Remember that these are all simulations and are there to provide you with an idea of the effect a given volume with have on you, but are by no means a guarantee.
What is most important, in my opinion, is the look you are trying to achieve rather than cup size/volume - these are not accurate and thus are nigh on impossible to predict accurately.
I hope this helps and I wish you luck.
Best wishes,
Marcus

Thank you for the question.   
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 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.

Hello, thanks for your question, without  pictures is hard to say what would be right for you. I would suggest that you visit a certified plastic surgeon who can review  options with you. Good Luck 

Dear Debz82,Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. You are an excellent candidate for a breast augmentation.  The size, profile, shape, texture, and type of implant (e.g., saline, silicone, “gummy bear”) is based on your desired versus existing breast size and shape, your chest wall measurements, and soft tissue quality. It is essential that you have an in-person consultation to develop a treatment plan that specifically addresses your personal surgical goals, and your body’s anatomy. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 - 2018

Hi and Thanks for the question.  Unfortunately, this is a difficult question to answer as bra size will vary from store to store and manufacturer to manufacturer.  In my own practice, we perform a sizing for every patient where we allow patients to preview what they would look like by having them place different size test implants (eg, 400cc) into their bra prior to surgery.  Not all surgeons care for this approach and we do clearly explain to patients that the sizing is in no way a guarantee of exactly what they will look like after surgery and also that there are some other factors that must be considered before selecting the final implants to be used during the surgery.  I would recommend contacting your Plastic Surgeon and discussing your concerns / desires with him / her prior to your procedure.  Best of Luck!