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

I got a breast aug almost 2 months ago, I am 5'10 with a slender body type. I wanted to be a big B cup. I went with 240cc silicon implants thinking they were small and would get be to a big B cup. (if you look at my other posts you will see more details about my pre op size struggle) I think they look amazing, but they are soooo big! too big! (there are more pix on the other posts. now I am a 34D!! how did this happen? will they get smaller?

Doctor Answers 12

Perfect result but the wrong cup size

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The reality is that you have a perfect result and should get your mind around the cup size. You have a natural upper pole, not buldgy at all.  You have a good implant width with no excess width (unibreast or side breast) or big gap (Death Valley) in the middle.  Consequently, your implants were well choosen for you.

I have had one patient like you a year ago and when you have a perfect, natural result and think it is too big, you have a perception problem where you aren't seeing the reality of your body the way others are seeing you.  Notice how all the doctors here agree that your result is great? As a result, downsizing really doesn't work because it is hard to know how much to go down without creating a new problem because the new implants wouldn't be the right fit for your body.  In the end, you will be best served with either adjusting to the great result you have or considering having the implants taken out entirely. 

240cc adds about one cup size to your pre-op breast size.

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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.

Breast augmentation size question

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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.

Breast Size Following Breast Augmentation

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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.


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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!



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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.


Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon

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

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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. 

Breast size after implants

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In addition to what my colleagues have said, you need to keep in mind that you are just two months post-op. I suspect there is still some swelling and as this resolves over the next few months, you may very well change your size--probably not to a B but it should be smaller than it is now. But it looks like you have a beautiful result so try not to get too concerned about letters and numbers.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon

Great result

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

Breast appearance

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

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.