Sizing questions - will 500 cc's result in a full C or maybe small D cup? (Photos)

Question

Any help is appreciated. I am 5’9 and 140 pounds. Having mommy makeover at end of April. II was told 500 cc and the number scares me- I have no upper pole volume and very littlw tissue- they aren’t tubular but i think they have that appearance. I want to be a full C maybe maybe a small D. I have never had big breasts so am afraid of looking too heavy or feeling like i look big. I’ve been told I have a wider chest wall and my breasts are further apart.

Gary M. Horndeski, MD · Answer

Your biggest problem is not your breast size but your breast position. Your breasts are very low on the chest wall. You need a breast lift using the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donovan Rosas, MD · Answer

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Ted Eisenberg, DO, FACOS, FAACS · Answer

Choosing the right size and profile breast implants for you. 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

Camille Cash, MD · Answer

When considering implants it's important to remember that your anatomy will influence how an implant looks.  The same 500cc implant can look very different on two different people.  Many surgeons have sample implants available that you can "try on" to give you an idea of how you may look after surgery.  I encourage you to discuss your concerns with your surgeon.  It's important that you feel comfortable and confident as you prepare for surgery.

Mark Eberbach, MD · Answer

That volume implant will be about 2.5 cup size change. Consider two different sizes to get better balance.

Sizing questions - will 500 cc's result in a full C or maybe small D cup? (Photos)

Answers (5)

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