Hoping to achieve a c/d cup and higher, rounder breasts - what do you recommend for me? (photos)

Thank you for your query. 350 cc round implants, placed under the muscle. should give you very good results with higher and rounder breasts. Tear drop shaped implants will not give you fullness in the upper pole, The exact size of implants you would need to achieve your desired cup size can be estimated with 3 D pictures and with sizers in your Plastic surgeon’s office. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

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.
Based on your photos and stated goals, your choice does not sound unreasonable. A smooth round, mod +/mod profile device in that size range should deliver a very pleasing result.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your inquiry! At you consultation appointment, you should have the opportunity to try on different implant sizes. We always recommend taking a couple different shirts to see how you will look in your clothes. We would love to sit down with you to discuss your options and answer any questions. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Thanks for your question! Based on what you are describing, I think you will be happiest with a moderate profile of a moderate size. I would stick with a smooth, round implant to keep youthful upper pole fullness without being too round and fake. Good luck!

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello,

Thank you for the question.

Based on your photos, you appear to be a great candidate for breast augmentation procedure which will give you a fuller cleavage that you desire.

Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.

350-415cc MP+ or high profile implants will give a full C/small D cup size that you desire.

I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon
Queens, New York
(516) 833 0309

You want to play the ultimate in guessing games, by taking an already flawed concept of discussing bra cup sizes as a goal with an in-person evaluation and making it remote with only photos to look at. Further, you are going out into the weeds with minutia with your desired breast shape as a secondary, and I suppose, very important aspect for success. What you need to know is that implant size and bra cups have no fixed relationship, and so there is no mathematical formula that can be applied. Asking even an expert surgeon to guess is tempting failure. Also, the shape of your breast after surgery is dictated by the shape your breast now, and the size and profile of the implant. So, as so frequently happens, desired shape is incompatible with desired size. Which one is more important to you? Finally, what bra you think you want is NOT what will make you happy after your surgery, it's how you perceive yourself in mirrors, photos, and videos. This is also why looking at goal photos is a problem: how the surgeon perceives your appearance and the appearance of the model in the photo is different from how you perceive yourself and the appearance of the model. So, what is the process that is validated and predictable at achieving patient satisfaction? There are actually two: 3D photographic morphing and the use of purpose built sizers in the surgeon's office. My preference is sizers, because the former concentrates on breast shape, which may be inaccurate, and the latter is the best for the patient to determine proportion. Please go to a surgeon that does one of these methods so you can avoid crowd source guessing on Realself and end up happy after your surgery.

If you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. I imagine your are size 32 or 34. 350 cc implants are too large for you. You need something smaller like 200 cc. You will go from an A to C cup. Your breasts are slightly separated and you would benefit from a circumareola approach to reposition the nipple-areola complex higher and more medial.

Best Wishes,

Gary Horndeski, M.D.

Hi. To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation. A sizer system can also be a helpful tool for communication of size desires for your specific body.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care,
Dr. Howell

First you say you want a C-D cup and then you say you want "teeeeeeny bit" of augmented look. I suggest meeting with a plastic surgeon, being measured and examined, and trying on the range of sizes that best fits your frame and tissue. Then, you can actually see and feel what you like.