How many CCs of Natrelle Soft Touch to get from my before to the after photo? (Photo)

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan.
With regards to your specific question, without an exam/measurements it is difficult to offer a volume recommendation. Based upon your photos alone, you might want to consider a HP implant in order to maximize the volume for a given breast width.
As always, discuss your concerns with a board certified plastic surgeon.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello,

Thank you for the question.

Based on your photos, you appear to be a great candidate for breast augmentation procedure which will give you a fuller cleavage that you desire.

Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.

Around 325-350cc moderate plus size implant will likely give you a fuller cleavage that you desire.

I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon
Queens, New York
(516) 833 0309

Hi. To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation. A sizer system can also be a helpful tool for communication of size desires for your specific body.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care,
Dr. Howell

Any surgeon who entertains this question is not going to be very helpful to you. This is not how you do it. Scientific validation of breast implant selection techniques have narrowed it down to two: either in office 3D photographic morphing technology or in office sizing, using purpose built sizers (my preference). Go to a surgeon who does one of these methods and you will likely have a result that fulfills your goals.

When moving forward with breast augmentation, it is very important to choose the implant volume that you want. I would encourage trying on sizers at your plastic surgeon's office to determine the CC size that you want, and not blindly choose based on someone's recommendation. You surgeon and team will assure that the size fits your body appropriately.

At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can compute the volume needed to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

The smallest size made is around 150 cc's, which will give you a cup increase in size. If this is too much, then avoid an augmentation.

It looks as if you like a nice full appearance to your breasts. I wouldn't focus on the actual number of the implant but simply have the surgeon create a pocket and select an implant to maximally fill the breast pocket and that will get you that look.

I still use a sizer after making a pocket and then for those patients who would like to be full I fill the sizer to the maximum fill that perfectly fits the pocket (think hand in glove) and then select the implant to match the sizer. It is a simple, consistent way to get the shape and size you desire.

It is difficult to give you an accurate recommendation from looking only at a photo. During a consultation you discuss your goals with your surgeon about what is important to you. Size? Projection? Lift? That information is combined with your measurements to determine a range of recommended implants. Many surgeons have sample implants available for you to "try on" to get an idea of how you may look after surgery. I've included a video on this procedure that I hope you find helpful.