Should 360cc take me from a 32AA to C/D? (photo)

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I appreciate your question.





It depends on your chest wall measurements and existing breast tissue as implant size does not accurately correlate to a bra size.  It also depends on the brand and style of bra you wear as size varies from manufacturer to manufacturer.





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

Thank you for your question. As a 32AA every 100cc is approximately equal to 1cup. So, a 360cc breast implant can potentially take you to a 32C/D cup. Muscle thickness will also affect projection of implant. Once muscle is stretched out and thins, the implants will project more. I believe 360cc implants are a good size for you. They are large enough to do what you want them to do, but not too large where your risks and complications increase. Remember, the larger the implant = the heavier they are = the sooner you will need revision surgery. Larger implants can cause a myriad of problems like chronic pain, nipple numbness, bottoming out, malposition, capsular contracture, irreversible soft tissue damage, skin stretch deformities, etc. I hope this helps. Best wishes and kind regards, 

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.

It's important to have realistic goals and an understanding of what is able to be accomplished during breast augmentation surgery.  I think 360 cc is reasonable and will be plenty of volume for you and will be a C/D for sure.  You need to understand that we can't just put a huge implant in if you have very little breast tissue and a small frame and tight skin.  Your PS seems to be of the right frame of mind and you need to trust him/her and accept the results.  If, after a few years with your new implants, you decide you want to go bigger, you could consider doing so at that point, since your breast tissue will have stretched out from its current state.

No way of predicting what cup size that will be. lLease have a very extensive discussion in person with a board certified plastic surgeon.  Cup size is the one thing no one can predict. Best wishes. 

Thank you for the question and pictures. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved.  Ultimately, 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.





 Given your concerns, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.







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 know words such as “natural” or "C/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, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with. 

The 360cc should give you a result similar to the last desired photo that you show. Cup size is difficult to predict because different bra retailers label the same bra differently. If you were happy with the sizers I would follow your surgeons advice. To learn more please read below: