Is it possible to go from a 36c to a 36ee/ff on the first implant surgery?

It's important to know what size bra you currently wear. Is it a 32, 34, 36 bra, and, of course, the cup size. The strap size is important to know because that affects the diameter of the cup and subsequently the diameter of the breast implant that we choose. We also need to know your height, your weight, and it's helpful to know your dress size as well.  In addition, it would be very helpful if you include photos of yourself. A front view, a side view, and a three-quarter view are most helpful. This will let us see if there are any breast asymmetries, if the breasts are narrow, if the breasts are wide, what your chest wall looks like, and this will also help us make a decision as to the best size breast implant for you.  In my experience in general, if a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc.  This is a general number, and of course there are other factors that will affect this. For example, if she has a chest wall issue where the chest is slightly sunken, this is called a pectus deformity, then she would require a little bit more volume to first bring her chest to a level position and then move forward to the projection of a C cup. This may require implants of about 50cc more. It's important to examine the patient and have complete information to make this decision.  breast implant size1.   32 a   to 32 c   needs about 250-275 cc2.   34a    to 34c     needs about 300-350 cc3.   36a    to 36 c     needs about 350-400 cc4.   You will be a double dd or larger  with 400Your doctor will work with you to choose the best implant #shape and #implantprofile based on your goals and measurements.  In my practice, about 15-20% of the patients are good candidates for silicone #shapedimplants.  The profile is determined by the amount of projection versus roundness that the patient desires, as well as the size of the implant and size of her chest. The profiles are usually described as high, moderate plus and moderate.

Hello and thank you for your question.   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.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  



Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.



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



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon