How many ccs to large C? (Photo)

Question

I am a 5 foot two 118 pound petite frame female n I would like to be a full large C cup I am currently looking into a nipple, sparing double mastectomy, direct to implants. My doctor said if I want to keep my nipple, I can only say the same size or maybe go up a cup size and be a small c or large b and could probably only do 200 cc. If I got bigger, my nipple could die. How many cc would it be for me to be a large c?

Donovan Rosas, MD · Answer

DTI while more convenient is less a less predictable option for breast reconstruction.

Until the day of surgery, it is impossible to predict the condition of the mastectomy skin flaps and the available coverage. This subsequently impacts the implant selection.

With regards to your specific question, CC don't necessarily correlate to cup size directly. My recommendation is for expander based reconstruction if size and aesthetic concerns are a priority.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Chet Mays, MD · Answer

Thank you for your inquiry!  At you consultation appointment, you should have the opportunity to try on different implant sizes.  We always recommend taking a couple different shirts to see how you will look in your clothes.  We would love to sit down with you to discuss these.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Gianfranco Frojo, MD · Answer

I would recommend and implant with a lift. I would see a board certified plastic surgeon (American Board of Plastic Surgery). Based on the photos alone and your goals....I would recommend something along the lines of a 200-250cc silicone implant below the muscle with a lift.

Luis A. Mejia, MD · Answer

Dear Resourceful556543
thanks for sharing your questions, unfortunaly without an in-person consultation is impossible to pick or recommend style, shape or sizes without an in person consultation, that provide the chance to get the measurement of key breast parameters, this is maybe the difficult step in this process. With your frame is really difficult to get as large as you are looking for cause there is not plenty space to place the implants. Listen to your surgeon and Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Daniel Barrett, MD · Answer

Dear Resourceful556543,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Azita Madjidi, MD, MS, FACS · Answer

cup size goes by your chest circumference. It's impossible to answer your questions correctly without that information. The same amount of cc on you will not reflect the cup size on someone who is 200 lbs. Your reconstructive plastic surgeon can tell you the exact amount. But that is correct that the nipples will die if the implants are too large and cut the blood supple to the nipples by pressing on them.

Carlos Marciales, MD · Answer

Hello, in order for your nipple to die, all the blood supply of it must be cut or eliminated, when you put on enlargement implants, the nipple irrigation is never eliminated, so that the nipple die from enlargement implants is something that never happens, you can put on some 450 implants if you want without any problem

Camille Cash, MD · Answer

It's difficult to give you a specific answer without an exam and measurements of your breasts.  I agree that 200cc implants would not likely get you to a large C.  If you are unsure about your surgeon's recommendation you can get a second opinion.  The mastectomy will play a role in implant selection for you.

Connie Hiers, MD, FACS · Answer

You may not be able to go as large as you would like with this type of mastectomy, unless tissue expanders are used, since some of your breast skin will also be removed. Please listen to your surgeon.

How many ccs to large C? (Photo)

Answers (12)

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