Would I be able to achieve my goal size from a 180 cc implant? Currently 32 A, goal is 32 B (photos)

I also don’t think fat transfer works very well especially since you’re so thin. 180 cc implants are almost not even worth using. Even 250 would be really small but makes mire sense than 180

Hi Elizabeth,
After reviewing your photos I can tell that you are a lean patient with minimal quantity of fat in your body. Fat transfer to breasts is a very common procedure done in the OR, specially in combination with breast augmentation, but in your case unfortunately you don't have much fat deposits to transfer to other areas. In my opinion the best way to select an implant is in an In-Person consultation, where your plastic surgeon can measure your chest wall, and according to your expectations both of you can decide a size. In persons with small breast that are aiming to have upper pole fullness, with good and natural cleavage, I prefer a submuscular placement of a ROUND implant. Generally speaking every 200 cc increase in breast volume in a patient like you will increase ONE cup in Bra size. Hope this will help you. Dr. Enrique Quiros Lim

Dear Eliizabethlm,
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

The implant size you are considering is very conservative. I would recommend placing the implants beneath the muscle to disguise the upper portion of the implant since you do not have a lot of breast tissue. Many surgeons have sample implants you can "try on" to give you an idea of how you may look after surgery. That, along with a discussion with your surgeon, should lead you to the right implant for you.

I would suggest meeting with a plastic surgeon and actually try on this size so you can see what you may look like. I would suggest the smooth round implants and placing them behind your muscle for a better look and less long term risks.

Hi and welcome to our forum! I am not a fan of using cup sizes as a measurement as there is incredible variation among the manufacturers. There is no standardization in the industry. In addition, many individuals wear ill fitted bras. We use cubic centimeters (cc.) to measure volume and grams to measure weight. They are interchangeable as 1 gram1cc.An EXTREMELY rough estimate follows:a large study revealed the average weight of breast tissue for each cup size....A cup…235 gB cup…450 gC cup…530 gIf you start at an "A" cup, adding 180 grams (or cc.) will bring your weight to 415 grams ( or cc.), a small "B" cup. Using this rough method, you would require ~ 215 grams (cc.) to be a moderate "B".However, this method is not as accurate as an in-person evaluation by a plastic surgeon. Breast and chest wall measurements may modify the numbers. Some plastic surgeons offer computer imaging, others will have you "try on" various sizers, or one can fill a plastic baggie with rice from a measuring cup and place in your bra to determine your desired size.Best wishes...