Hello and thank you for your question. Thebest advice you can receive is from an in-person consultation. The correlation between cup size and implant size will depend on the size of current breasts. The size, profile, and shape of theimplant is based on your desired breast size/shape, your chest wallmeasurements, and soft tissue quality. This decision shouldbe based on a detailed discussion with equal input from both youand your surgeon. Make sure you specifically lookat before and after pictures of real patients who have had this surgeryperformed by your surgeon and evaluate their results. The mostimportant aspect is to find a surgeon you are comfortable with. I recommendthat you seek consultation with a qualified board-certified plastic surgeon whocan evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon
The best cosmetic result in any particular breastaugmentation patient depends on a variety of factors, including: Yourindividual anatomy, desired outcome, realistic expectations, a thoroughdiscussion with the plastic surgeon about the options, and an understanding ofthe pros and cons of any particular implant choice. Proper sizing is not justabout the number of cc’s. The thickness of your tissue, breast dimensions whichinclude the width, height, and projection, as well as chest wall width all needto be considered when choosing an implant. Trying on implant “sizers” ofvarious shapes and volumes while wearing a tight t-shirt, bra, or bathing sitat a preoperative visit will help you and your surgeon choose the optimalimplant.There are no manufacturers' standards for cup sizing in the bra industry. Thecups of a 32 C-D and a 38 C-D are significantly different. Cup size varies frommanufacturer to manufacturer and even within styles from any particularmanufacturer. There is also no direct correlation between an implant size orshape and resultant cup size.Keep in mind that following the advice from a surgeon on this or any otherwebsite who proposes to tell you exactly what to do without examining you,physically feeling the tissue, assessing your desired outcome, taking a fullmedical history, and discussing the pros and cons of each operative procedurewould not be in your best interest. I would suggest that your plastic surgeonbe certified by the American Board of Plastic Surgery and ideally a member ofthe American Society for Aesthetic Plastic Surgery (ASAPS) that you trust andare comfortable with. You should discuss your concerns with that surgeon inperson.Robert Singer, MD FACSLa Jolla, California