Currently 34B, want to be 38C/34D - is 350cc too much, too little, fake looking?

Question

I'm a mother of 3, current size 34B 5'6" 138 lbs - wanting a fuller, but not [RS bleep]/fake looking boobs. Not sure if 350 cc is the right size. Advice?

Dhaval M. Patel, MD · Answer

Thank you for your question. It is difficult to give an educated opinion without photos. However, from what you described I believe 350cc may be a good option. The best way to tell for sure is to have a consultation with a board certified plastic surgeon. Best of luck!Dhaval M. Patel Double Board Certified Plastic Surgeon Hoffman Estates Barrington Oakbrook Chicago

Otto Joseph Placik, MD · Answer

Generally speaking, if placed under the muscle this will provide you at least a two size cup increase (very rough estimate which will vary from one individual to another). If you are uncertain try the rice bag trick under an elastic bralette for a week or two to try it out.

Kenneth Hughes, MD · Answer

Based upon your current size and desired outcome, 350 cc may be a very reasonable choice.  Kenneth Hughes, MDLos Angeles, CA

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Hope me that this helps! Best wishes for a wonderful result!

Jonathan Saunders, MD · Answer

at that size and at 5' 8" they will not look like porn boobs- to use your phrase.  good luck.....................................................................

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.   The best advice you can receive is from an in-person consultation. 
It depends a lot on your breast measurements and your goals. Going from a B to a C/D may be reasonable to have a 350cc implant or smaller.   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.  This entire surgery
can be performed with a small incision technique.  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

Niki Christopoulos, MD, FACS · Answer

Hi and thank you for your question. Unfortunately it is nearly impossible to discuss appropriate breast implant size without an in person examination and assesment of your current breast size, quality of your breast skin as well as breast and chest wall measurements.  These are all important factors when determining the most appropriate implant size for you and your wishes.  Best to meet with a plastic surgeon in person who can examine you and discuss all of the above.

Martin Jugenburg, MD · Answer

Please know that it is a common misconception that implant size correlates
with the bra cup size. A bra-cup size itself requires many measurements to
describe it. 
As you already know, bra sizes clearly vary among manufacturers, and they
can label the cup size by any designation they choose. So a C will be a
D for another. Additional factors,
such as demi and full cup coverage, specific fabrics, padding, and elastics,
can all affect the fit of a bra. 
Second, there is a confusion over sister sizers which complicates things.
For example, a patient wearing a 34C may also fit into a 36B bra.
Since you asked the question
considering all things equal, then I think you might find it helpful to know
that a study by Dr. Bengtson and Dr. Glicksman titled “Standardization of Bra
Cup Measurements” has shown that the average implant volume required to
increase the cup-size by 1 size is equal to 205 ccs. 
So a better thing to do would be
to bring your desired bra to your consultation and do bra-sizing with different
implants to see if the implant in addition to your breast tissue would adequately
fill the bra.
Even though you may give importance to cup size designation, what
should matter most is that the implant looks good aesthetically and that the
chosen bra fits and feels comfortable.
With
regards to implant size, please know that the implant has to fit YOUR body dimensions and it has
to be tailored to your breast shape & anatomy. This requires an in-person
breast exam.
Surgeons use what is called
tissue-based planning for optimal filling of the breasts. The planning takes
into account the effects of implants on
tissues over time, risks of excessive stretch, excessive thinning, visible or
palpable implant edges, visible traction rippling, ptosis (Sagging), breast
tissue wasting, and your general breast characteristics. 
To determine the implant size, breast measurements must be
made: 1) Base Width of the existing breast tissue, 2) breast skin stretch, and
3) Nipple-to-Inframammary Fold distance. The combination of these measurements
will help determine tissue coverage and the required implant volume to
optimally fill the breasts. Then your preferences can be added to tweak the
final implant volume. 
Since you would like a filling of the breast, and want to avoid
the fake look, choosing the implant size based on breast measurements is best. 
Next, I would like to bring to
your attention the fact that breasts must follow a set ideals to be classified
as natural. Natural breasts have the following characteristics: 
·        
The areola should not be abnormally large relative to your nipple. 
·        
The nipple should be above the breast fold - inframammary fold
·        
The 2 nipples should form an equilateral triangle with the notch of your
breast bone
·        
The breasts should not be sagging and must be symmetrical
·        
The nipples should sit directly behind the part of the breast that
projects the fullest
·        
The breasts must have an upward pointing nipple (angled at 20 degrees)
·        
There must be a slope in the upper pole of the breast
·        
There must be a tight curvature (convexity) in the lower pole of the
breast (i.e., below the nipple)
·        
Finally and most importantly, there must be an upper pole to lower pole
ratio of 45:55 (i.e., the percent of fill below the nipple should be 55%
compared to 45% above the nipple)
If your breasts
meet these ideals, then they will look natural. The point of telling you this
was to inform you that there are many factors other than implant size which go
into creating natural looking breasts such as the profile of the implant
(moderate profile for natural), the shape of the implant, the incision used (IMF
for optimal results), and even the pocket of placement (submuscular for
long-term results).
Please book an in-person consultation with a board-certified surgeon
and make sure to fully and comprehensively share your
desires, expectations, and concerns.
Make sure
to choose a surgeon you can trust. Your surgeon should be someone who
does not rush you, and someone who does not agree to everything you say because
safety should be the first thing on their mind. Clearly, you wouldn’t know what
is best for you, so they should guide to make decisions that will minimize
complications and allow you to have beautiful breasts in the long-term.
Verify their skills, education, and certification. Ask about
your surgeon’s experience about the procedure you want and ask to review
photographic examples of your surgeon’s work. Check to see if the
aesthetic ideal is consistent with what you are hoping to achieve. Make sure
the before and after images have the same perspective, the same lighting.  Read the surgeon’s reviews for the
procedure you want
Hope this helps

Christopher V. Pelletiere, MD · Answer

Unfortunately, without pictures/ dimensions/ examination, it is impossible to say what will work best for you.  Implant choice is not just about volume.  The volume is actually secondary to the width/ height/ and projection of the implant that can fit within the confines of your chest and breasts.  On average, something in the 350cc range will change cup sizes up 1.5-2 cup sizes based on your described height and chest width.  You are certainly welcome to come for a consultation and see what will work best for you.  We are about thirty minutes north of Naperville.  I hope this helps.

David R. Alfonso, MD, FACS · Answer

That sounds like a reasonable size for you to reach your goals. Without photos it's hard to tell but that size implant is very reasonable for a thin patient. The average size implant I use is around 350cc. Good Luck

Currently 34B, want to be 38C/34D - is 350cc too much, too little, fake looking?

Answers (19)

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