What size is best for me? I want to go from 36AA to 36C.

Thank you for your question.What is your breast base width diameter?  This is a critical number and will determine the width of your implant. The width of the implant will have a large determining factor on the volume size of your breast implants.To be sure, see two or more board certified plastic surgeons for a complete evaluation to make sure that you are a good candidate and that it is safe for you to have surgery.I hope this helps.

Always best to be sized in person but roughly a silicone gel high or ultra high profile implant depending on your chest width in the 300-350 range should get you there.  Best wishes

Thanks for your question. I agree with your assessment. A C cup on the smaller side would enhance your very fit figure. I also agree that the implants should be smooth silicone gels placed behind the muscle. The incision could be areola ( although it may be tough even with the Keller funnel) or IMHO the fold. I would recommend high profile. I also agree with you about looking natural. IMHO the coconut, fake look is not desirable.In any case, always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in cosmetic breast surgery. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.I answer all questions personally. Many surgeons have the ability to carry on line consults which we frequently do. Contact our institute and we will be happy to guide you.

Thanks for the question, for young healthy slim fit people I really urge to go smaller which gives a more natural shape that fits your body unless you really want a "done" look. I would suggest somewhere between 270 and 330 and you may be a great candidate for a new anatomic implant

Thank you for your email and photos. You appear to be an excellent candidate, and more importantly your goals seem very realistic. No tow women are the same, and no two women's breasts will respond the same even with the same implants. It is best to feel comfortable with the aesthetic sensibility of your board certified plastic surgeon, and allow him or her to carefully assess which implant width would be the most appropriate in your breast. Once that "footprint" of the implant is determined, once can decide on how much projection you desire, and the ultimate cup size you would like to be. In general, my own impression is that women are generally getting over augmented, and a more natural result can be expected by being a bit more modest with your implant size selection, but every patent is different and the final decision needs to be made by your plastic surgeon in the operating room based on all of your pre-operative planning and discussions. Best of luck to you. 

Breast Implant Size is a combination of subjective and objective criteria.There is not a direct correlation between the cc's of a breast implant and the corresponding cup size, as cup size is an inexact measurement that varies considerably among companies and even within the same company. Online consultants will not be able to guide you as well as surgeons who perform in person consultation.The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options

The best cosmetic
result in any particular breast augmentation patient depends on a variety of
factors, including: your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit
at a preoperative visit will help you and your surgeon choose the optimal
implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 C and a 38 C are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest you find a plastic surgeon
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in
person.

Robert Singer, MD FACS

La Jolla, California

In terms of breast implant sizing, there are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:

1. Dimensional planning
2. Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.

Dr. Basu
Houston, TX

Cup size is not the best way to discuss goals. Look at the before and after images on your plastic surgeon's website. This is a better way to communicate what you are hoping to achieve. The breast implant size is an important consideration, so is the shape, projection, position and placement of the breast implant, particularly pif you are looking for a natural looking result. Find a plastic surgeon who uses biodimensional planning principals. This, in addition to exceptional training, and evidence of great results (photos) will help you find a surgeon who can help you decide on the best breast implant for you.

Thank you for your question. It appears from your pictures that your skin tone may be very tight which may limit the size of implants that can be used. Rather than concentrate on a certain cup size I would recommend that you visit with a board certified plastic surgeon who can examine you and determine what is the maximum size implant that will fit comfortably in your breast. I think you are an excellent candidate for a silicone implant under the muscle and it should give you a nice natural look.