Hoping to be a full C: should I get 230/250 cc mod or 280/300cc HP? (photos)

Good afternoon,
I perform over 600 breast augmentations a year, and something just isn't right about your numbers. First of all, 50cc is almost nothing so don't worry about that. Secondly, in no universe is the 230-300cc range going to give you a double D- not a chance. What I'm concerned about is your BWD- I do not think 11.3cm is correct. If you choose a High Profile implant you are likely to look like you have two small plums glued to your chest with a huge gap in between. Based on your photos and goal pics my best guess is that you need a Mod Plus implant in the 300-325cc range. When measuring your BWD don't just measure the actual width of your breast- you must include all that empty space in the middle that needs to be filled in. Crazy guess- I'm going to say that if you figure a one finger gap, then your "true" or "ideal" BWD is around 13.4cm. Call me crazy, but I've done this about 12,000 times over the span of a 22 year career.

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. The addition of 250cc implants will bring you to a C cup. I would suggest a 280cc Moderate Plus implant to increase volume and provide ideal projection/fullness. I hope this helps.

thanks for the question and providing the photographs. You are a good candidate for breast augmentation procedure. In addition to increasing the volume and projection, you should discuss with your surgeon the cleavage. You can also consider improving cleavage with fat transfer. Based on your breast base, in my opinion you should go for high profile implants to get descent volume and projection to suit your frame.

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 and they choose what looks right for them. 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

Bra sizes are not tied to implant volumes, so NO ONE can deliver a bra cup reliably, only by chance; it's a guessing game that no one is good at. The good news is that bra cups are irrelevant. What matters is how you look in the mirror, not the tag on your bra. Instead of the whiz bang high tech simulation you've been put through, ask for low tech sizers in the office. This is the most accurate way to achieve your goals with extremely little risk of wrong size surgery.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Dear Exuberant758453,
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 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 continuing to discuss your concerns with your plastic surgeon or seek additional consultations to ensure that the implants you decide upon are the right ones to meet your expectations. Based on your pictures alone I would select a well-sized moderate profile implant and avoid the full profile look which will be too narrow in your chest. Best wishes!

I would suggest going back to to your surgeon and trying on each size so you can see and feel the difference.

Great question. 50cc is significant in someone your size. I use sizers with and patients can try on the different sizers and pick the one they like best with my direction. You may want to consider seeing a couple different plastic surgeons as you shouldn't be left to pick an implant size and profile on your own or through online chat rooms. Picking a size should be very straight forward and fun. I think you will have a terrific result but just need to find the right surgeon.