How Many Cc to Get a Big C or Small D? (photo)

Hello Oklahomajade,

You will not do well without a breast lift in addition to breast augmentation.  Breast implants will not make your current breast just look bigger, it will also distort your current breast shape into something less pleasing.  Additionally, breast implants over the muscle do not last (stay put) over time, and in someone like you will take on the appearance of 'ball in sock'.  

You need to visit surgeons that are expert in breast lifts, reductions, and revisions.

Best of luck!

Implant dimensions more important than size.  Your breast base width minus skin thickness, with amount of breast gland and skin elasticity factored in are all important considerations in selecting implant dimensional parameters.  Of course, your desired final size is also most important, but along with pre-surgical breast size chiefly influences profile (projection) you choose, not width.  The combination of width and projection determine implant volume... Along with implant manufacturer and implant shape/style.

You need a simultaneous augmentation plus a vertical lift.  This is called a vertical augmentation/mastopexy.  Your breasts are saggy and will not look ideal with implants alone, particularly on the left side.  Implants really don't take up the slack the way you might think they would.  Plus your areolae need to be reduced anyway (so the lollipop scar is not necessarily a negative).  Your areolae will look even bigger if you just have implants without a lift.  Also, your asymmetry cannot be corrected without a lift.  The vertical technique is best.  Check out this section of my website.  I've attached a link.  Also, your implant size done at the time of a lift should be in the 400-450 cc range.  Saline is fine, but you can have silicone if you prefer.

I am concerned that an augmentation without a lift might may end up with a very unsatisfactory result for you.  I think you will do much better with breast augmentation/lifting surgery. 

As you may know,   one of the downsides associated with breast lifting surgery is the necessity of additional incisions/scars.  For some patients the necessity of additional scars is unacceptable and for these patients it is better to avoid breast surgery altogether.

On the other hand, many patients accept the scars associated with breast augmentation/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential compromise associated with many of the procedures we do in the field of plastic surgery.

In regards to achieving your  breast size goals  it will be important for you to have  thorough 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..

It sounds like you may benefit from additional consultations with well experienced board-certified plastic surgeons who can demonstrate significant experience helping patients in your situation.

Best regards,

If you get 375cc implants you will be at least a full C to small D. I would guess you will be a medium D cup, but this is just a guess.  You might want to consider a lift and smaller implant, but you need to discuss it with your surgeon.