How man CC will I need to transform from 32A 32D? (photos)

Question

Im a 29 year old Female. I'm slim. 4 foot 9 inches 6.8 stones. Chinese ethnic. Went to see my consultant a man of very little words. I told him PC got me to try on 325-350. He automatically said 275cc. But PC said what about 300cc high profile mentor implants. I asked if I could go bigger he just ignored me. How many CC do I need to achieve for a full D? With my statistics is it achievable?

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.
  
The size of implant is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.
  
Silicone will give you a fullness at the top (upper pole fullness).
  
Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.
  
Anatomic gummy bear implants might be a good choice to give you volume.
  
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
  
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.
  
The best way to assess and give true advice would be an in-person exam.
  
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
  
Best of luck!
  
Dr. Schwartz
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Mathew A. Plant, MD, FRCSC · Answer

Unfortunately how many CCs of implant are required to go up a certain amount of cup sizes is not a straightforward answer. Cup size is determined by subtracting the measurement around your ribcage (the band size of a bra) from the measurement around your chest at the point where your breasts project the most. Because it's all relative to your band size a person with a small band will require less volume added (smaller implant) to go up in cup size than someone with a larger band. It will also differ wildly between bra manufacturers as there is really no consistency anymore between what a specific cup size is from one brand to another. One woman may be a double d in one brand and a c in another. A better way to choose your implants is to try on sizers with a bra you would like to fit in and simply see what you like best, ignoring the specific cup size. In terms of your consultation experience, if your surgeon is already ignoring your concerns at your first meeting you can imagine how interested he'll be in hearing them after surgery if you have any complications. That kind of behaviour is a huge red flag and I would strongly suggest you find a different surgeon. Hope that helps!

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

Aldo Guerra, MD · Answer

Hello V888NSA.There's no way to answer your question online because there's no reliable/predictable way to predict bra size after breast implants. Based on your statements about your plastic surgeon, I believe you will be served by getting several additional opinions on breast implant size options for your frame.Best wishes, Dr. ALDO :)

Donald R. Revis Jr, MD · Answer

Good morning!
In my office I take measurements, review photos 
and have a patient try on sizers to arrive at their desired amount of 
cc's and profile, but a best guess based on your current photos and 
inspiration photos is around 400-500cc High Profile.  
I have attached a link to my Breast Augmentation photo gallery for your review- hope it helps!

Tom J. Pousti, MD · Answer

Thank you for the question. 
 Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.
 
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.***It will definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
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 "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 (and the attached link/video, dedicated to breast augmentation surgery sizing concerns) helps. Best wishes.

Renee Burke, MD · Answer

In our office we are able to use sizers, 3D imaging and measurements of your breasts to find  the perfect size implant that will fit you. On average I tell patients  that a cup size in 200-250cc so you can  estimate how large of an implant you will need to achieve the look you desire. I  would seek out another board certified plastic surgeon to have an additional consult.

How man CC will I need to transform from 32A 32D? (photos)

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