My surgeon suggested a 260cc but I think it's too small...? Is it?

talk to your surgeon.  look at pictures.  also keep in mind that the difference between 260 and 280 is a little more than a tablespoon.  so don't sweat it.  I always tend to err on the larger size. very rarely do people complain about being to big, but alot complain about being too small

It is very difficult without seeing you in person to know if the implant sizes you mentioned are too small for you. Keep in mind that the size difference between the 260 cc and 280 cc is minimal. Some studies have shown that it is nearly impossible to see a difference that is less than 20 cc.  Also, implant size selection depends on your unique measurements, so what may be too small for one woman may be perfect for another. Lastly, the choice of implant size is also a matter of taste. What you think may be too small, another woman may think is too big. 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.

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

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

It's hard to sit online and second guess a surgeon who has already examined you. I suggest you get a second opinion for another reputable plastic surgeon in your area or post your photos. Did the first surgeon discuss measurements with you? Like the base width diameter?Best wishes, Dr. ALDO

Thank you for sharing your question.  Unfortunately for patients and doctors alike there is no correlation between an implant cc size and ultimate bra size.  As a result the best way to achieve your goals is through open dialogue with an ASPS board certified plastic surgeon who understands your goal results and who can help you select the best implants for your frame.  It may also be useful for you to "try on" sizers in their office to have a better visual representation of what a 260/280/300cc implant looks like.  Hope this helps.

Thank you for your question.  Its always best to answer a question if a photo is available to go along with it.  However, assuming you are a thin petite 5'0" patient with A cups then typically a cup size is between 150-200 cc.  The shorter and thinner you are the closer to 150cc that becomes in my experience.  The heavier and taller a patient is the closer that cup size is more like 200cc.  So in your case you want to go from A to B+/C- breast is not quite 2 cup sizes and more like 1.5-1.75 cups.  So at 150 * 1.75 = 262.5cc.  Sounds almost exactly what your surgeon recommended.  Frequently, people come in asking for a particular size and come to realize they actually like a bit larger.  Remember, no one will really know your cup size unless you tell them so focus on looking the way you want and not on a particular cup size.  I suggest you try using dry rice in a nylon stocking and purchase an inexpensive bra and play around with different amounts of dry rice.  1 oz of rice = 30 cc.  So start with 8.5 - 9 oz of dry rice and add and subtract rice.  Ask your husband, bf, gf, mother, sister, or whoever you want opinions from and of course try on that dress you always wanted to look better in and see how many ounces of rice suit you best.  I suspect you will choose something larger than 260cc based on your question.

Thank you for the question. Despite your good description of body type and goals, online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.
 
 
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, 
I have found that the use of words such as “natural” or "big B or small C cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes. 

Choosing the optimal implant type and volume requires a dialog between the patient and the doctor.  Your body may not in some cases be able to accommodate the size implant you would like and in those cases your surgeon will decide on the best size for you which may be smaller than the one you like.  An implant that is larger than your body will accommodate can't be placed.  Having said that there is a small difference among the implant sizes you mentioned in your question and I suspect you would be happy with any of those and any of those would provide the size increase you are looking for.

There difference between a 260cc and 280cc implant is minimal.  If you would like to have a slightly larger implant, the best thing to do is discuss this with your surgeon.   Ask him if there is a reason (like base width measurement ) that keeps you from going to a larger size.   If your not comfortable with what he says, get a second opinion.    Best of luck.

Dr. Michael McCLure M.D.