I Was a 32A and I Wanted to Be a C Cup and Got a 34D to DD. I Would Like to Downsize Without a Lift?

At size 34 each 100 cc of implant will correspond to 1 cup size change.  When you received a 380 cc implant, you went up 3.8 cup sizes and that is why you are a DD.  If you want to go from an A to a C then you will need 200 cc implants.  Many patients believe that the only way they can have attractive breasts is through breast augmentation.  However, there is a new technique called Breast Augmentation with Mini Ultimate Breast Lift, which allows the breast to be reshaped to increase projection and repositioned to increase upper pole fullness and cleavage.  The operation is done through a circumareola incision avoiding the lollipop or boat anchor shaped scars, which are unsatisfactory to patients.  I recommend Implant Exchange with Mini Ultimate Breast Lift.

Best Wishes,

Gary Horndeski, M.D.

There are two issues you are speaking about. One is size and the other is appearance. You would need to decrease your implant by 100cc to get a cup size difference.  Ultimate bra size depends upon where you buy your bra.  In terms of the need for lift that has to do with nipple position.  If you posted some pictures it would be easier to evaluate whether you needed a lift.  I suspect that since you are asking that you probably do need a lift. You may be able to get by with a concentric lift which would require a scar around your areola without a lollipop of anchor component.

  Downsizing is an option and the decision to lift would have to be made by your plastic surgeon.  Sometimes a lift can be avoided, but, to some degree, this will be based upon the volume loss.  I must say that an A cup going to a DD cup with 380 ml is a bit of an enigma.  I have put in 400 in many women and they do not even go up 2 full cup sizes. 

It is possible to go down in implant size without having to do a lift. It really depends on whether or not you needed a lift to start with, have had drooping since the augmentation, and the quality of your skin. If you have good skin quality and breast tissue, and no drooping, you may not need a lift. You can exchange the implants and then allow time for your own tissues to tighten around the smaller size. If you have drooping or stretch marks or thin skin, you may need a lift at the same time. Also, in terms of implant sizes and cup size- there is no direct conversion of volume to cup size. A general guideline is that every 150-200 cc adds one cup size, so if your augmentation is with 380 cc, you can reasonably expect to go from an A to a C. Like I said though, this is not a direct conversion, and factors such as the width of your breast and chest wall, amount of native breast tissue, shape of chest wall, skin quality, etc all factor into what size you will be. So a 380 cc implant on you can look completely different than the same implant in another woman. Also, cup size varies depending on the brand of bra, so while you may be a D or DD in certain brands, you will be a C in others.

the volume changes with chest size.  see my previous posts.

 

a 32 usually requires about  250=-275  to get to a c cup

  34                                         300-350

36                                           350-390

it may be possible to change the size and fix the pocket internally