Small C cup, wanting DD/E. How many CCs do I need? (photo)

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

It is always mentally taxing to decide on an implant size, especially if one is using cups sizes as a goal. That is partly because there is no standard for what a cup size is. the photographs provided indicate reasonable preoperative breast volume. If the questioner wishes to increase by 2 cups sizes or perhaps three, in my practice I find this is usually in the high 300s or low 400s or something perhaps even more. What would be more helpful are photographs of outcomes that the patient is trying to achieve. If there is superior fullness in the upper breast, a higher profile implant may be advisable in addition to a higher volume. If your surgeon has 3D analysis, that can also help in visualizing final results with different sizes of implants.

Thanks for your question! I would talk to your surgeon about implant size. Perhaps something in the 400-450 range but it's important to have this conversation with your surgeon. You appear to have a well-defined inframammary fold so I'm unsure that an internal bra with something like Galaflex is necessary. Good luck!