350cc, 325cc & going bigger (C to DD) - how do I determine how many ccs I want?

Dear Affectionate835469,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question about breast implant sizing.
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Selecting the most appropriate breast implant size for breast augmentation is a personal decision that ultimately you have to make. An in-person consultation with implant sizing is best.
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It depends on your height, weight and breast base width diameter.

To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breast implant surgery.

I hope this helps.

Your surgeon should be able to have this discussion with you after a physical examination. Your breasts are truly the final determination as to what size implant is appropriate. You should also see a surgeon who has the ability to perform 3D imaging.

Go to your surgeon and ask to try on sies to see what additional size you like. Your surgeon can guide you to what will fit your frame and tissue.

Hi and thanks for your question. This is a challenge for many people. Often it’s best to ask your surgeon if they can use sizers during the procedure and then it can be determined based upon your desired end size (DD). It often requires a large increase to go against the resistance of the scar tissue from prior surgery. If you want to get an idea, although not perfectly accurate in secondary surgery, is use a nylon knee high stocking. Fill with dry rice. Use measuring cups. 1 cup is 240 cc. 1/2 cup is 120 cc. Etc. Fill the home made sizer to the desired outcome. Use an elastic band to tie off the opening. Trim the excess. Insert into a NEW LARGER bra. That is important! And put on a snug fitting shirt and evaluate. Adjust as necessary. It’s more accurate with primary breast augmentation but still helps. Remember, you’re just assisting and often patients request a size volume that doesn’t correlate with the end result because they talked with friends. So participate in the decision and work with your surgeon.