I am 5’4 150, athletic. Cup size 34a. Looking for 34d. Dr suggest 345cc. Will this give me what I want? (photos)

Question

I am 38 5’4 and 150 lbs. I am not heavy but athletic. I am a 34a and want 34d. My surgery is in 4 weeks, and I am worried that 345cc is too small

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Robert M. Tornambe, MD · Answer

Ann   I try to tailor each breast augmentation operation to my patient's desires and body type.    I ask my patients to bring in photos of breasts the size they desire, because there can otherwise be confusion because B or C cup can vary greatly by brassiere manufactures! I also utilize the implant in the bra technique, with several different implant sizes with a tighter fitting T-shirt to get an idea of what you will look like. Be sure to consult with a board certified plastic surgeon and go to your consult with all your questions written down so you don't forget to ask something.

David A. Caplin, MD · Answer

Cup sizes vary between bra manufacturers so a B cup in one brand can be a C cup in another.  I wouldn't focus on the cup size as much as on the implant size that will fit your build.  If you surgeon recommends a 345cc implant based on measuring your breasts and chest dimensions that may well be what will look best.  If you feel that  you would prefer to err on the larger side have that discussion with your surgeon.  Maybe, at the time of surgery, they will be able to go a little larger than 345.

Gerald Minniti, MD, FACS · Answer

Hello,There is usually disappointment when women use bra cup sizes to communicate aesthetic goals with their surgeon. There is no correlation between implant volume and bra cups; so its all a guessing game. Instead, using in-office sizers, an unpadded bra, and a few of your favorite tops in the mirror will give you and your surgeon much more usable information. Remember though, you have an anatomically derived maximum capacity that is easy to determine and should not be ignored. If your surgeon isn't an ABPS certified/ASAPS member surgeon, then you should find one who is. Best of luck!

Farbod Esmailian, MD · Answer

This is one of the more difficult questions to answer as a proper exam and measurements are required.  Even then it is impossible to say what cup size you would be with which size implants because every place you go get sized afterwards may find a different sized bra that fits.What I would recommend would be to go for a particular look rather than a cup size.  To achieve the look that you want, you and your plastic surgeon will have to be on the same page.  This involves tremendous time with looking over photos, evaluating the body's measurements, soft tissue, and sizing in the office.  3D imaging is a nice approach, however, the problems is that is still a photo and not on your body.  In office sizing with specially designed sizers in my opinion along with everything else I have mentioned I find works best with reproducible results.Hope that helps.

Daniel Barrett, MD · Answer

Dear fancyann0711,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 1 days  post op.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ahmed Ali-Khan, FRCS (Plast) · Answer

Hi thank you for your question. It is likely your surgeon will have explained no guaranteed cup size can be offered as all patients are individual and they systems available to assess such things are estimates. In addition different bra makes will sometimes differ in size for the same patient.
However your question is a common one; I use a 'rule of thumb' that each 100-150cc approximately equates to a cup size in most women that I see in my clinic (100cc might be enough in a woman with a small frame, more in one with a medium frame and so on). From that perspective your shape and stated implant size is a reasonable estimate to achieve the cup size you are hoping for. 
A consultation is required to assess skin quality and stretch, breast shape and other factors that will affect the final result and cup size. A full discussion should also be had with you to assess your desired shape and look. Cup size is just one such consideration.
I hope this information helps.

Jeffrey Nelson, MD · Answer

Thanks for your question; I'll try to give you a frame of reference as well as a bit of the standard mantra for this line of question. First I'm sure your plastic surgeon reminded you that there is no standardization of cup size. Of course patients like to communicate their desire by using cup size as a common reference, but a "cup" is different for each bra manufacturer. It may prove easier to show your surgeon a few photos of people in swim suits to express your idea of what a "D" is in your mind. For the average female frame about 150 cc's to 175 cc's represents a cup in most bras so 350 cc's is two cup sizes for many patients. A smaller framed person may find 350 to be 2 1/2 cup sizes in a bra and a larger framed person may find it's a bit less than two cup sizes. Still the width of the breast and rib cage and other breast measurements help you determine the best implant that may fit your frame without looking unnatural. Hopefully that helps guide you a little, but as the saying goes a picture is worth a thousand words and I have often had patients say to me they wanted to be a full "C" cup, but when they showed me photos they were clearly people with "D" or "DD" breasts so what they thought was a "C" cup was off a bit from a true "C" cup. Best wishes going forward.

Eric YK Li, MD · Answer

If you remained concerned about your implant size and whether or not it meets your aesthetic goals, I would encourage that you see your surgeon again. Sizing and determining the right implant for you is a complex process that is best done through in-person consultation. Hope this helps!

Anup Patel, MD, MBA, FACS · Answer

Determining size is something you should do during your consultation with a board-certified plastic surgeon. If you are unsure about it, be open and discuss that with your surgeon so they are aware about your concerns and fully understand what your expectations are. Size of implant can vary based on anatomy which your surgeon will evaluate to determine what is best for you. During consultation have photos and also fill your bra so the surgeon can see what you would like,

I am 5’4 150, athletic. Cup size 34a. Looking for 34d. Dr suggest 345cc. Will this give me what I want? (photos)

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