Will 400cc be a full C for me? (Photo)

Question

I'm currently a low small B cup. I wanna be a full C nothing bigger than a C. My dr told me 400cc Would do it for me? But I'm scared it will be too big for me. My friend got her BA with the same dr miami and she's now going for a breast reduction because they were too big. She got 500cc and she asked for a full C and it gave her a DD. So I'm nervous this will happen to me. I'm 5'7 and 150lbs I was even thinking of doing a 350cc I want perky filled boobs not in your face boobs.

John Diaz, MD · Answer

It is very difficult without assessing you in person to know if the implant size you mentioned will be a good size for you. Keep in mind that implant size selection not only depends on your personal preference, but it also depends on your unique measurements. There are various types of implants that can help you attain the look you are going for. A thorough consultation with a board certified plastic surgeon will allow you to communicate what your desired result is and will inform you as to what is possible to achieve your goals. We have a device called the Vectra 3D imaging system that shows you what you will look like with any implant. Our patients are very happy with the choice of implant they make when using this system. To learn more about breast augmentation, you can read “A Comprehensive Guide to Breast Augmentation."

John Michael Thomassen, MD · Answer

If you want a perky look, then 400 cc is not the implant for you.  In addition you appear to have a tight skin envelope and may be better served by a smaller implant.  Finally, you do appear to have asymmetry of your breasts and this can become more noticeable after an augmentation so it should be addressed.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  400cc may be large for your goals.  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.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Andrew P. Amunategui, MD · Answer

Hi pjackie310,Thanks for posting.   Your concerns seem valid as some girls will end up a D with 400cc.  You should probably get a second opinion from a BCPS with expertise in breast surgery.  Nothing replaces in person consultation/examination.  Bigger is not always better!  Please see attached web reference.  Good luck :)

Ram Kalus, MD, FACS · Answer

The most common reason for disappointment after breast augmentation relates to size-too big or not big enough. Using bra cup sizes as your metric is notoriously inaccurate and rather than fixate on the notion that you don't want to be any "bigger than a C", it is far more accurate to view photos and before and afters and share those as your communication tool with your plastic surgeon. Selecting an implant is far more complicated that "300 cc's versus 400 cc's" and this is where the expertise, judgment and aesthetics of your plastic surgeon come in to play. While it can be useful to discuss sizes with friends, it can also be very misleading since it is very likely that your friend's breasts are very different from yours, not to mention her height, weight, and body type. Your best advice to consult with an experienced board eligible or certified plastic surgeon whose aesthetics aligns with that of your own based on their before and after gallery. The only way to unring the bell of having been over augmented is to have revision surgery, which you would obviously like to avoid. That means getting it right the first time. If you are unsure after your first consultation, be open to the idea of a second, or even a third consultation, until it feels right and your confidence level is where it should be. Best of luck to you.

Daniel Barrett, MD · Answer

Dear pjackie310,Determining the ideal breast size and matching that goal for the patient is the most difficult part of breast augmentation. It starts and ends with the patient. 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 its 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, everyone of them have 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.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Benjamin J. Cousins, MD · Answer

Hello and thank you for your questions and I hope you get the answers you are looking for. Remember, it is best to see a Board Certified Plastic Surgeon who can in person examine you, take key measurements and go over with you your specific aesthetic goals. Bringing several photos of your "ideal" look to your consultation can be helpful as well. During the consultation should be a review and discussion about the size you desire and do not desire, incision location, implant placement, implant size and shape, type of the implants as well as the recovery period and what to expect. There are several key differences and some similarities in the types and shapes of breast implants. It is best to see and feel in person the different sizes, shapes and textures of the various implants during a consultation with a Board Certified Plastic Surgeon. Best of luck.

Dr. Benjamin J. Cousins M.D.
Board Certified Plastic Surgeon Miami/Miami Beach/Broward

Dr. Benjamin J. Cousins M.D.
 Board Certified Plastic Surgeon Miami/Miami Beach/Broward

Kris M. Reddy, MD, FACS · Answer

You are correct that 400 cc could lead to a D cup depending on the surgical technique. Consult in person with an experienced and expert board certified plastic surgeon to understand your options.
There is not a direct correlation between breast implant size and cup size as the cup size varies greatly among companies and even within the same company. Moreover, cup size can vary based on who is performing the measurement.

The size of the implants is based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.

Manuel Ventura Gonzalez, MD · Answer

HelloIt is important that when asking a question via web a photo is shown to make a small evaluation of what results could be obtained after observing its figure. The size of the breasts will depend on what are the expectations you want to achieve, what the surgeon recommends and what is best suited to your profile. The shape of your breasts will have a lot to do with the shape of the breasts you can get, but of course with greater volume.
I hope to answer your concern

Darryl J. Blinski, MD · Answer

You need to discuss these issues "in person" with drmiami if possible. But you may be on camera, LOL. Many PSs use a sizer during surgery to determine the desired patient size.

Will 400cc be a full C for me? (Photo)

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