160cm in height and 52kg, Asian female, 45 years old. Should I consider 320cc or more?I would like a full C or small D. (Photos)

Question

Hi, I am 160cm in height and 52kg, Asian female, 45 years old. 2 kids from 2012 and 2015, breastfed both for 1 year and then 4 years. I want to have Motiva Joy (ergonomix 2) implants and after few consultations, I am considering 320cc, to give me a full C or a small D. Am I right to choose 320cc or another size to achieve what I am looking for? Thank you in advance.

Donovan Rosas, MD · Answer

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. 
Based upon your photos, your choice does not seem unreasonable.
As always, discuss your concerns with a board certified plastic surgeon.

Leila Kasrai, MD, FRCSC · Answer

An easy way to determine whether that you’d like that size is to try on sizers at your surgeons office. These are implants that you can fit into your bra to see your predicted results.

Dino Mendez, MD · Answer

Based on your height, weight, breast measurements, the following sizes will likely deliver that full C, small D result:Motiva demi ergo: 300, 320, 340, and 360 ccSafest bet for a more proportionate look will likely be 320ccHowever, because bra cup sizes are not standardized, I would recommend bringing 2-3 "wish pics" to your surgeon, of girls that have a similar frame to you, and the ideal breast fullness that you desire. These pictures do not need to be plastic surgery before and afters, or nude photos; they can be a girl you follow on social media that you like how she looks in bathing suits, dresses, fitness outfits etc. I would also bring one picture of what you DON'T want. Your surgeon will then be able to evaluate that degree of fullness and translate it to your frame to deliver the exact result you are desiring.

Camille Cash, MD · Answer

From the photos you appear to be a good candidate for breast augmentation.  Implant selection is a detailed process that is best done in person with a board certified plastic surgeon. The implant you are considering seems it would in the right range to help you meet your goals, however I would refer to the surgeons who have had the benefit of examining you and speaking to you in detail about your desired look.  Many surgeons have sample implants you can "try on" to help you get an idea of how you may look after surgery.  I've included a video I hope you find helpful.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your bra size.  If you are 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.  320 cc implant appear quite large and you appear to be a B or C to begin with.  I recommend small implants or fat transfers with a simultaneous lift.

Best Wishes,

Gary Horndeski, M.D.

160cm in height and 52kg, Asian female, 45 years old. Should I consider 320cc or more?I would like a full C or small D. (Photos)

Answers (8)

Answer: Breast augmentation

Answer: Breast augmentation

Answer: Small implant or fat transfers with simultaneous lift

Answer: Small implant or fat transfers with simultaneous lift

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Everything you need to know about Breast Augmentation

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160cm in height and 52kg, Asian female, 45 years old. Should I consider 320cc or more?I would like a full C or small D. (Photos)

Answers (8)

Answer: Breast augmentation

Answer: Breast augmentation

Answer: Small implant or fat transfers with simultaneous lift

Answer: Small implant or fat transfers with simultaneous lift

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.