Will 375 cc medium profile breast implants get my to a D cup? (Photo)

Question

I’m getting breast implants next week and I’m currently a B-cup . My ps said The biggest I can get right now is 375cc medium profile implants and he said that the end result will be a D-cup. Im really nervous because I want large breast and I’m scared 375cc won’t get me to a D-cup . I feel like I need larger implants . Can anyone else give me there opinion please

Damien Grinsell MBBS, FRACS (Plast) · Answer

Hi
As a very rough guide 150 cc is about a cup size so you would go up 2 and a half cups sizes.  I reckon you are a small B so that would make you a big D cup.  You can easily carry that size and could go bigger if you wish. In my practice the patient picks the implant size and then I design the surgical plane and implant choice to give them the look they are trying to achieve. 
Regards
Damien

Nick Slenkovich, MD · Answer

Hi there,
Did you express these concerns to your surgeon? It would be much more beneficial to discuss with your plastic surgeon who will be actually doing the procedure and who has done an in person consultation. The truth is, a "D Cup" can be different to each person and to each bra brand. It is much more accurate to measure size by ccs. 
Were you able to use sizers to try out the implant size on your body or did you get to utilize Vectra 3-D imaging? There are ways to get a good idea of what the implant sizes will look like on your body.
Main piece of advice, discuss with your surgeon.

Donald R. Revis Jr, MD · Answer

Good afternoon,
Your best bet at getting the right size is to take several different tops with you to your PS' office and try on the implant sizers- that way you can make sure you get the exact size and profile you want to achieve your goals!

Ronald J. Edelson, MD · Answer

I agree that 375 cc is an appropriate size. There is no problem using a size larger if you really want. You sound like you want a larger size and I say sure, why not? If you said you wanted 500 cc’s I be would strongly discourage it.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (375 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. The 375 Moderate Plus may well “fit” your breast and achieve the D cup you are seeking, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select.

Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

It is true that for a given volume a high profile implant will have a narrower diameter. Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

As a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery.

Take your time, do your research. Best of luck to you.

Daniel Barrett, MD · Answer

Dear Adventurous774176,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ali Gurlek, MD · Answer

Thank you for your Question. 
Enhance your appearance if you think your breasts are small or that one is smaller than the other and this impacts how you dress or the type of bra needed to help with the asymmetryAdjust for a reduction in the size of your breasts after pregnancy or significant weight lossCorrect uneven breasts after breast surgery for other conditionsImprove your self-confidence

Connie Hiers, MD, FACS · Answer

Your surgeon who has measured and examined you will be the best one to guide you to the range of sizes that best fits your frame and tissue. What you have selected should look very nice. Please do not choose an implant that is too large and heavy that will stretch and thin your tissue over time, be too heavy on your neck and shoulders, and sag.

Brian Widenhouse, MD · Answer

It appears from your photos that a 375cc implant will get you to a D-cup. If you are having doubts, try on sizers at you PS's office or get a second opinion/consultation from a board certified PS in your area.
Best of luck!

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