How Did 240cc Silicone Implants Give Me a Size D Cup? (photo)

It looks like you have a very nice result from your surgery.  It looks like maybe you had a donut lift on the right side as well.  The good news is that you are only two months after surgery.  There is definitely still swelling present which will result in subtle changes in your look.  I doubt that you will go down to a B cup however.  It takes a while to get used to your new body after surgery and many patients experience highs and lows during this period of time.  Generally it is best to give it some time.  Ultimately if you feel you are too big it is possible to down size implants in the future.

We frequently see patients who express concern about the size of their breast implants following breast augmentation surgery. In some cases, this occurs in the immediate post-operative period. The majority of these patients are concerned that their breasts are too big. As swelling subsides, most of them are ultimately happy with their breast size.Immediately after surgery, it's hard to make judgements about breast size because of swelling and muscle spasm. It may take weeks for the majority of swelling to resolve. In addition, muscle spasm can increase upper breast fullness and make the breasts look larger than they really are. This may also take weeks to resolve.Many patients also experience transient adjustment reactions following breast augmentation. These patients have difficulty adjusting to larger breasts and feel as if people are staring at them. With the passage of time, most of them are able to adjust to their new implants. Eventually, they may even forget that the implants are there. The adjustment process varies from patient to patient but may take months. Immediately following surgery, it's not unusual to see patients who feel that their breasts are too large. After several months, they adjust to their new implants. They feel that their new breasts fit nicely on their body and they're happy with their results. Occasionally, some of them request even larger implants.If you have concerns about breast size following breast augmentation surgery, you should communicate with your plastic surgeon. He has dealt with this situation in other patients and can address many of your concerns. With time, many of these concerns may resolve without intervention. Ultimately, you may still be very happy with your breast augmentation.

There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.I hope this helps. Good luck!Sincerely,

You didn't include pre-operative photos, but if your present appearance is a D-cup, your pre-operative breast size must have been a C-cup or possibly a big B-cup. Wait . . . that's what you wanted! Did you have deflated breasts? I suspect some degree of droop was present pre-op since you appear to have had a periareolar mastopexy (donut, Benelli, or circumareolar lift).

240cc implants are very conservative--any smaller, and your surgeon would have been using implants with a very narrow diameter that would not match your breast base dimensions and would look terrible when they slid around in your pocket. The implants chosen are the smallest that are reasonable for a 5'10" woman, even with a slender build. If you truly feel too big, then you didn't really want a breast augmentation in the first place. But a breast lift alone (without implants) would have yielded more scars, and perkier, but same-size (minus an ounce of skin) breasts. What your surgeon did was correct for your request for breast augmentation, even if you weren't quite right on your sizes (surgeon AND patient).

Your results are truly exceptional. Buy bras that fit your breasts and look pretty, and forget what letter is on the label.

Great posted photos. Your issue is you started with a large B or small C cup so adding 240 cc's increased you to the D cup. Which BTW look "marvelous". I would try to live with this size for at least 3 months more before thinking of another operation. 

The result looks excellent so I would suggest that you not lose your excitement over cup size which varies dramatically from company to company.

It looks like you have a nice result.  I would not focus so much on cup size. Each bra company is different.  

I agree with you 100%, Laura, you have a great result!  If you are happy, I would not fret too much about the cup size.  In my opinion, your breasts look very proportionate and appropriate to your build.

I agree with previous comments by other plastic surgeons about the possibility that you had a miscommunication with your doctor and about how important it is to make sure patient and doctor are on the same page before surgery.

Be that as it may, if you are a D now, and 240cc implants were inserted, then you must have started as a C.  So you were never going to end up a big B.  As I said above, if you are happy where you are now, then enjoy your new body.  If you aren't, discuss options for change with your surgeon.

Thank you for the question and pictures.

Your situation demonstrates why discussing cup sizes  when it comes to communicating goals for breast augmentation surgery can be confusing and a source of miscommunication/disappointment. Generally speaking, 240 mL breast implants should not increase your breast size from a "B" to a "D" cup. it would be much more likely that you have been measured incorrectly or are simply using a different bra style or manufacturer.

Given that your only 2 months out from the surgery, I would suggest that you give yourself at least several more months to get used to the breast size physically and psychologically.  Hopefully you will be pleased at that point; make sure you do not base your level of satisfaction on a specific cup size.

Continue to follow-up with your plastic surgeon;  it appears that he/she did a very nice job for you.

Best wishes.

Hello,

 

240cc does equal about one cup size depending on what size your  breasts started off. If you where a A cup then 240 should of taken you to a nice B cup. You are still to early from surgery and swelling is very normal it takes a 6-8 months for all sweeling to subside.