I'm 5'6", 21, 120 lbs girl. I'm thinking 375 cc or 400 cc but not decided yet. I'm too confused (Photo)

Thank you for your question. In order to determine what you can realistically expect from surgery, please be seen in person by a board certified plastic surgeon who is an expert in the breast augmentation procedure. Also, please be sure to clearly voice your surgical goals with the surgeon during the consultation.All the best,Dr. ResultsMiami, FL

Hello,It's nice that you're thinking of a particular sized implant, and it is important for your surgeon to understand your aesthetic goals.  Unfortunately, your anatomy may not accommodate an implant that would be necessary to obtain your goals. Your photos seem to indicate a narrow, deflated, and ptotic breast with little tissue centrally, a low lying nipple, and a high inframammary crease.  A careful analysis of your chest and breast tissue is important to determine what is the most objectively appropriate implant for you.You should see a surgeon who is not willing to just 'yes' you to get your business, but instead tell you what is possible and what isn't.  Additionally, you may be better served with a breast augmentation combined with a breast lift. Best of luck!

I appreciate your question.I work my patients as a team to choose sizes. This is done by measuring your chest width and height and finding the proper size for you.As long as both those implants fit your chest, we can discuss what you want to achieve.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz

Either 375cc or 400cc would likely provide a nice result, but many factors are involved in the selection of the implant type and volume. The current width of your breasts, the width of your chest wall, and the quality of your tissues all influence the decision. There is a range of implant volumes that can be appropriate for your body, and your own desired appearance then plays a role in determining which implants within that range will help you to achieve your desired look. You should make sure that you and your surgeon communicate well, so that your surgeon has a good concept of your goals. The surgeon can then guide you as to the implant decisions. I will generally take more than one implant size to the operating room, then insert a sizer or trial implant at surgery to confirm how well that particular implant volume accomplishes your goals for appearance and size. I can then make minor adjustments during the surgery if needed, selecting an implant that most closely gives you the look you want. It takes a few more minutes this way, but it results in almost no patients who feel that their size is unsatisfactory, or who seek to change their volume. Good luck!Dr. Andres Taleisnik

Although it is difficult to give a good recommendation without a physical examination, from the photos and your body dimensions, I would think either the 375cc or 400cc implant will get you a to a full C / small D size breast.  The size difference is only about 6%, but will actually be less after it is placed since you already have some breast tissue. However there are other factors to consider as well.  Such as breast width and what type of implant you want.  If you desire silicone implants, they are pre-made so you may not have too much of a choice.  All these factors can be discussed in a consultation so that your goals can be reviewed and a plan tailored specifically for you.With that said, most patients after their breast augmentation tend to say they wish they were a bit bigger rather than a bit smaller, so something to think about.Good luck and hope this information helps.  Feel free to reach out if you have any further questions.- Dr. Roger Tsai   

You should meet again and discuss with your plastic surgeon after doing the rice test.  I describe it in the attached video.  It will make you feel a lot more confident in the size you are choosing.

 Ultimately there's very little difference between 375 and 400. My recommendation is always to choose the bigger one of those two sizes. The number one complaint we get in our offices "I should've gone bigger" story, the 25 mL won't make you any bigger, but it will make you regret that you  didn't go with the bigger size. Best wishes. 

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, thank for your height and weight and breast size estimates,
they do help. There is really no way to accurately predict what size you would
like without an examination. During your examination and consultation, you
should try on some sample sizes and see what you are comfortable with. Then the
PS can help explain with the size and current condition of your breasts the
effects of those sized implants will have on you.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you. They have the experience. If you are
uncomfortable, go on another consultation.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

There are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I usually do not talk about cup size. As you know, cup size varies with brand and styles of bra. I would go for the desired look. Review before and after photos and see what kind of look that you want. Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. More meaningful recommendation can be made based on direct examination and in-person consultation. Please visit with a board-certified plastic surgeon.Best regards.