How many cc's to go from 38B/C to 38 D/DD?

good evening!looking at your photos, your breast shape and nipple location necessitates a breast lift as well as augmentation for an optimal result.  Sizing will be dependent upon your tissue characteristics - not everyone can hold a 500cc implant and have a perky long lasting result.Remember the bigger the implant, the heavier the implant.  The heavier the implant the more weight is being placed upon your tissues that will lead to early loss of upper pole fullness.From looking at your photos you are not a straightforward case.  Please be sure to see a board certified plastic surgeon well versed in augmentation mastopexy for an evaulation.I hope this helps

Based on your photo, in your case, a breast lift procedure along with an augmentation would likely be recommended. Depending on the individual anatomy and desired results of the patient, estimations and measurements should be made for them individually. The elements that form up the breast shape and size and the overall frame can be different in each person. It will be best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello and thank you for your question. You are a great candidate for a breast augmentation.  550cc may be a good size for you, considering you have a wide chest base.  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.   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.  

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

At size 38, each 200 cc of implant corresponds to 1 cup size change.  You would need approximately 400 cc to go from a B to a D.  However, implants alone will not resolve your problem.  As others have stated, your breasts are abnormal, too far apart and have descended.  You would benefit from a lift and the technique I recommend is The Bellesoma Method.  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 and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Dear roseOr,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