21 years old, currently an A-cup - What would be a good size to go up to? (photos)

If you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds the 1 cup size change. From this, you can determine the volume required to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

Hi & thanks for your question!
The best thing to do is to schedule a consultation with a board certified plastic surgeon to discuss your options. You can try on implants and decide what size you like. Best wishes!

Thank you for the question. You are good candidate for breast augmentation. The choice of implants is a complicated process that requires in in-person assessment, in order to ensure safety while also meeting your goals. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

This is a question that we are asked frequently during our consultations. There is no 'correct' answer as each person has individual preferences and an overall comfort level for their body. That having been said, the ideal breast size is compatible with the general body structure of the person. Height, rib cage width, hip width play an important role in the ideal breast size. This is called the golden ratio. This golden ratio is important in terms of aesthetics, naturalness and comfort of the person. From your photos, you are very fit and have great starting overall breast shape. There is no sagging nor structural issues such as breast constriction, tuberosity, etc. The issue is 'volume' meaning how big to go. As a general rule, it takes about 200 cc per cup size increase. It appears that you are closer to a small B. So, a 300 cc implant would be expected to give you a one and a half cup increase to a full C/small D cup. In your consultation, as with other board-certified plastic surgeons, we would measure your breasts and torso. We would then give you appropriately sized implants to try on at different volumes. In this way, you would have a very good understanding of what to expect. It would allow you to 'test drive' the implants. I believe that you will be very happy with whatever size (or not) that decide upon. Respectfully, Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery

Good morning,
You are an excellent candidate for breast augmentation, and we would go under the muscle, through a nipple or crease incision, with saline or silicone gel implants, depending on your preference. In terms of size, I would measure your chest, we would review photos together, and you would have the opportunity to try on the implant sizers with several different tops here in the office. Overall I think you would look awesome with something in the 400-500cc range, which would make you a full C or small D depending on where you buy bras.

Hi, thank you for sharing your question. You are a good candidate for breast augmentation. The specific goal for your size and volume is a personal choice. Based on your breast measurements, your plastic surgeon will be able to advise you on a range of implants that are possible. You should be able to achieve your goal for C or D cup breasts. I hope this helps.

Dear LaLaWills22,
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

Thank you for your inquiry and photos. Without a physical examination it is difficult to respond with accuracy, but the best way to determine which breast implant size is best for you is by first finding out your specific wishes not only with words or letters as in cup size or “not too big” or “natural”, but also with a visual understanding of what you hope to look like. This can be accomplished either with photographs of patients whose breasts and body type look like you, or ideally with photos of patients not only whose breasts and body type visually are similar to yours, but are also a similar height, weight, and pre-operative breast size. In our own practice we have provided that unique functionality on our website to accomplish exactly that.

Unfortunately the most common reason for a woman to be unhappy after her augmentation is feeling as though she is either too big or not big enough. Thankfully, in our practice this is rarely a problem because implant size selection is what we spend most of our time discussing and determining. I do not place the onus of selecting the breast implant size on my patients since they are coming to me for my advice and expertise, but I do ask my patients to be as specific as possible about their aesthetic goals and I then advise them accordingly.


I would advise you to seek the advice of a board certified plastic surgeon experienced in breast enhancement surgery and make sure that your own sense of aesthetics aligns with that of your plastic surgeon. Your idea of “natural” or “pretty” or “proportionate” might be different from your plastic surgeon’s and it is very important for you to feel confident that you are both of like minds as far as the goals. Best of luck to you and I hope you are successful in achieving the enhancement you are seeking.

Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. You may wish to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!