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Hello and thank you for your question. Thebest advice you can receive is from an in-person consultation. The size,profile, and shape of the implant is based on your desired breastsize/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion withequal input from both you and your surgeon. Make sure youspecifically look at before and after pictures of real patients who havehad this surgery performed by your surgeon and evaluate theirresults. The most important aspect is to find a surgeon you arecomfortable with. I recommend that you seek consultation with a qualifiedboard-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
Thank you for your interesting question. I wish this was easy to answer, but it really depends and is next to impossible to answer. First of all, there is no industry standard on how big an "A" or "D" cup should be, so you will find that a Victoria's Secret "D" is different than Bally's. Next, the cup size also depends on the circumference. If you compare bras at a store, a 40D cup is much, much larger than a 34D, even though they are both "D". For these reasons I would say most surgeons do not plan surgery by cup sizes. Instead we go more by patient measurements, trying on sizers, looking at representative pictures of what the patient desires, etc. The goal is to make a choice that is right for your body and what you want to achieve, and not an arbitrary "cup".
Thank you for the question. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. For example, I do not think that the generalizations of "200 cc equates to 1 cup" hold any validity or are helpful in any specific or practical way. In my practice, I ask patients not to communicate their goals, or evaluate the outcome of the procedure performed, based on cup size references.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. ***If your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery. 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 or DD 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.