I Thought 445 Cc's Would Make Me A Small D, But They're Bigger. Will They Go Down In Time?

At 2 1/2 to 3 weeks post-op, you are still high, tight, and somewhat swollen. Depending on the sugical technique and placement above or below the muscle, this may also increase or decrease the severity of your swelling. Regardless, what is certain is that you WILL experience ongoing changes and will continue to look better and more natural as time goes by. The younger and more muscular and fit you are, and the fewer babies you have had or breast fed, the SLOWER this occurs. Imagine an older woman who has had more children, breast fed, and has poorer skin tone and muscle tone--she can expect to drop, soften, and settle faster than a younger, more youthful, more muscular woman who has had no children.

In general, I tell my patients that it takes about 250cc to equal 1 bra cup size, so 445cc should add nearly two cup sizes to your previous breast volume, which would enlarge you from a B-cup to a D-cup or thereabouts! Were you a "full B" or a "small B?" And is there a big difference between a D and a DD? Bra sizes are so variable I find them of limited value in discussing size with patients; it's much better to let things settle and see how you look in clothes and without, and then buy bras that fit well and look nice--forget about the letters on the label! Good luck and best wishes!

Thanks for your question, I believe your concern highlights one of the most difficult objectives in breast augmentation, what is a cup size?  A cup size can be a moving target that changes from brand to brand and even within style of bra within a brand.  This is because bras are essential a fashion size like dress sizes and not a measure of volume.  Implants are sized by volume and are modified by shape.  In my office, patients help me pick their volume and shape of implant and bra size is only a guide. I do not know the process you went through during your consultation.  As for your own result, it is still early and there is still some swelling and the implants will probably fall.  Given the dimensions that you presented, your starting point size, and the implants that you had placed, I am not suprised you are pushing a full D or even a DD in certain bra brands.  Let everything settle, but discuss with your surgeon your concerns now, so he/she knows that you are unhappy with size right from the start.

At two and a half weeks after surgery the breasts are most likely swollen.  it will take a few months for the swelling to subside and the implants to settle into the pocket. They may in turn look smaller after this time.

There is no cookbook easy way to translate implant volume(in cc's) to future cup sizes. Most breast implant manufacturers make 3 classes of implants  for the same volume range: low profile, moderate profile and high profile. Using the same volume implant with a different profile would result in a different appearing breast. To add to the complexity of predicting future cup size consider that each woman's breast and chest anatomy is slightly different and differs from side to side producing asymmetry. Adding an identical implant to a slightly different breast usually accentuates such pre-existing asymmetry. Finally, there is no uniform bra industry cup size standard. A C is not a C and a D is not always a D. As a result since cup sizes are at best a guess and predicting breast size based solely on implant volume is another guess combining the two guesses explains your situation and makes it va very common source of disappointment in women undergoing breat augmentation and relying on Internet simplistic ba cup projections 

At this point you need to wait and see how much of te beast ize is due to surgical swelling. In 4-6 weeks you will see more ore less the breasts as they really are. At that time you could better decide on your next sep. 

Good luck.

Peer A Aldea,MD

It's too early in the healing process to make an assessment of whether your breasts are too large. There is still swelling which will take time to abate. Also, focus on the shape and appearance of the breasts--not bra size, per se. Additionally, it does take time for patients to psychologically adapt to their new body contour.