What size will my breasts be with 260cc implants?

Question

Good day, I'm having my procedure the 7th of may. I'm currently a size A 32. I'm going to have the 260cc implant. What size will it be?

Donovan Rosas, MD · Answer

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Daniel Barrett, MD · Answer

Dear Fabulous723322,
it is hard to predict the size of your breasts by using implant size. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

More information would be needed to give you an opinion, such as breast width and weight. In addition, breast cup size is not standardized, therefore it would be best to try on a sizer at your surgeons office in the size you’d like or expect to be. Sizers are implants that you can fit into your bra.

Ted Eisenberg, DO, FACOS, FAACS · Answer

260cc will look bigger on a 32 frame than, for example, a 38 frame. It also depends on how tight you wear your bra and wear you shop. Some stores will tell you that you measure bigger than other stores. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Warren Schutte, MD · Answer

It is very difficult to determine cup size in the Plastic Surgery world. Bra cup sizes are determined by fashion companies creating the clothing. I would recommend waiting until you are about 8 weeks post surgery to enjoy going bra shopping and finding what works for your new augmented breast anatomy.

Luis A. Mejia, MD · Answer

Dear Fabulous723322, will be good to see some pictures however after your in-person consultation your doctor can take measurements of your breast and give you an approximate number also manage the symmetry. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks! Dr. Luis Mejia.

Gary M. Horndeski, MD · Answer

At size 32, each 100 cc of implant corresponds to 1 cup size change.  260 cc implants will take you up 2 1/2 cup sizes between a C and a D.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

It's difficult to accurately predict bra cup sizes as they can vary by manufacturer.  I encourage you to return to your surgeon for further discussion about the implants.  Many have sample implants that you can "try on" to get an idea of how you may look after surgery.

Connie Hiers, MD, FACS · Answer

With the 260 cc implants, you will probably be a full B to small C, depending upon the maker of the bra.
Each cup gained is about 150 cc's in most women.

Mats Hagstrom, MD (license on probation) · Answer

I generally don’t engage in discussions regarding breast size by using letter cup sizes.
I find this to be highly subjective and not very accurate.
Using 220 mL implants will add 220 mL to your breast size.
Implants section is done with your provider I find the most accurate way of guiding patients through the implant selection process is to review lots and lots of before, and after pictures of previous patients who started off similar to the patient requesting augmentation.
I can then look up what size implants each patient had to create that outcome.
 I usually ask patients to bring images of ideal outcomes and use those to determine implant selection during surgery.
By having a clear understanding of what my patient is hoping to achieve, I bring those images with me to the operating room.
During surgery I use temporary sizers to dictate what size and shape implant will give an outcome closest to what the patient showed me. Her ideal results should look like. Are usually have a full section of implants available during surgery and make the final decision during the operation by using temporary sizers. 
Each plastic surgeon will have their own way of guiding patients through the selection process of choosing implants in regards to size, shape, and type.
Some plastic surgeons do this better than others.
There’s no right or wrong way of doing it.
Each providerwill do what works best for their practice.
220 mL is fairly conservative for most patients, but may create a substantial augmentation on a very petite woman with very small breasts.
If you have concerns about implant selection before surgery that I suggest you bring those up with your provider.
Patients should be comfortable with the implant selection proces when they schedule the procedure.
My best guess is that 220 cc will give you a modest C cup.Best,
Mats Hagstrom, MD

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