I am about an A cup (32A or 32AA) and desire a small C cup. Is 300cc enough to achieve that? (photos)

Question

I'm looking into 300cc-350cc moderate round implants. I believe my band size is 29 or 30". I've included a picture.

Caner Kacmaz, MD · Answer

Breast implants are sized according to their volume in cubic centimeters (cc).

How do you know what size implant to choose? Looking at pictures and talking to friends who had a breast augmentation might help.

Off course the volume will depend on the shape and size of your actual breasts, your frame and the size you want to achieve.

Our plastic surgeon will advise you thoroughly. Bringing pictures of a desired restult to be shown to our surgeon, might be very helpful.

Leila Kasrai, MD, FRCSC · Answer

It might be possible. Please ask your surgeon for sizers in the implant size you’re considering. Then, bring a bra in the size you’d like to be so you can try on the sizers. This will give you an idea of whether it will achieve the result you’d like.

Kenneth Hughes, MD · Answer

A board certified plastic surgeon will be able to guide you to the correct size implant. Measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy.

Donald R. Revis Jr, MD · Answer

Good afternoon!
If you were my patient we would decide the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office, but based on your photos and description I believe that the 300-350cc range sounds great!

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and profile implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Nelson Castillo, MD · Answer

Thank you for your question and photographs. I think you are starting from an excellent position and should anticipate a nice result. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional ASPS board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

Timothy M. Bradley, MD · Answer

A 300 cc implant should be able to achieve an appreciatively enlarged breast, but the volume of a breast is just one of many factors when planning a breast augmentation surgery to achieve a patient’s desired post operative results. Do not get hung up on breast implant volume because your friend got such and such a cc breast implant, or you saw somebody online with a before and after picture with the 300cc implants and you liked what you saw.The volume of an implant chosen for breast augmentation surgery, as well as the profile of implant implant is all predicated upon each individual patients breast shape, size, and soft tissue characteristics (soft tissue characteristics means how much breast tissue a patient has, does the breast sag, is there stretched excess skin, is the skin very tight, how much does the skin “give” or stretch when pulled out from the chest wall, is the breast tissue very soft or very firm in glandular, how wide is the distance between the breasts, is the rib cage and breast bone normal, are the breasts of equal size, shape.....etc).All of these parameters must be carefully weighed by the surgeon in making a decision of not only what volume of an implant to use, but also what implant profile will provide the best result and perhaps even whether to place the implant above or below the muscle. There is so much more to properly performed breast augmentation surgery than making a pocket and placing an implant. “You could train a monkey to do that” we are fond of saying. With that being said, you have stated what appears to be realistic goals for your self given a starting point of an A cup and desiring a realistic augmentation to a small C. Many patients with small, tight skin A sized breasts want a “large D” post operatively. This thinking is a disaster waiting to happen . Plenty of surgeons will accommodate a patient’s desire for an implant which by all the above parameters is simply too large, and the patient later develops known long term complications of breast augmentation surgery. Some of these complications are extremely difficult to fix, and requires a lot more surgery and even more surgical incision scarring.An in person, “hands on” consultation and examination with a board certified plastic surgeon is the best way to help you safely & effectively achieve your post operative goals. You need to discuss what you would like to achieve , and your surgeon should carefully listen to you and help you understand why, (or why not ) your goals are realistic and safe. By safe I mean there will be minimal risks of a multitude of complications which can occur long term when too large of implants are used at the initial operation. All the salient risks of breast augmentation surgery must be understood by the patient prior to embarking on such an important endeavor as this type of surgery. Pictures alone can not provide all the necessary information which the surgeon requires to make a decision for implant volume, profile, width etc. Perform your due diligence in choosing your surgeon and the facility where the surgery will be performed is extremely important. You should feel very comfortable with what was explained to you in your consultation , and have time to digest it all and ask more questions if necessary. Meeting your surgeon & being examined for the first time by the surgeon the morning of your surgery is a recipe for potential disaster. Best wishes and good luck

Ram Kalus, MD, FACS · Answer

As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (300 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. A 300 cc implant may well achieve your aesthetic goals, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Make sure that you share with your plastic surgeon photographs of your "favorites" or ideal. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Daniel Barrett, MD · Answer

Dear khaasma,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

That is a reasonable size for you. I would suggest meeting with a board certified plastic surgeon, being examined and measured, and trying on a range of sizes to see what you actually like.

I am about an A cup (32A or 32AA) and desire a small C cup. Is 300cc enough to achieve that? (photos)

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