I am having problems with picking an implant size. Should I go with 395cc or 355cc? My goal is to be a full C cup.

Most women wish they had gone a bit bigger after they have grown accustomed to the breast augmentation.  I suggest you go with the 395cc.

Thank you for the question and providing photos of the look you are hoping to achieve. When you say small D cup I would think of larger breasts than the photos you posted. I think you are choosing a good size with the anatomic implants and will have a nice result with either implant. Discuss with your plastic surgeon your wishes and ask his opinion as online photos cannot provide enough information for me to give a definitive recommendation. In my practice, if someone cannot decide between two sizes I will often place sizers during the operation and choose whichever implants looks the closest to your goal. You should have a great outcome either way. Good luck!

Basing the success of breast augmentation on cup size is not advisable as cup size varies considerably from company to company. Implant selection should be a collaboration between the patient based on her needs/objectives and the surgeon based on his or her expertise and experience. There is not a significant different between 355 cc or 395 cc. Ensure that your surgeon understands your goals/objectives before you proceed with surgery.

There is not a big difference in size between the two, so go bigger.  Many women wished they had gone bigger after the surgery.

There are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX

The
best cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width, height, and projection, as well as
chest wall width all need to be considered when choosing an implant. Trying on
implant “sizers” of various shapes and volumes while wearing a tight t-shirt,
bra, or bathing suit at a preoperative visit will help you and your surgeon
choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 C and a 38 C are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest your plastic surgeon be
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in
person.

Robert Singer, MD FACS

La Jolla, California

Thank you for the question and pictures.  You are starting at a good place and should have a very nice outcome with breast augmentation surgery. As you consider breast augmentation surgery, the most important decision you make is NOT size/profile of breast implant, but selection of plastic surgeon. 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 which operation and/or 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. I have found that the use of words such as “natural” or "full C, small D cup" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. The use of computer imaging may be very helpful during this communication phase.
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.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process. Remember, especially given your petite frame, that there may be limits as to how large of a breast implant can be utilized “safely” during your procedure.
I hope this, and the attached link (dedicated to breast augmentation for petite patients), helps.  Best wishes.

Thank you for your question. The most common breast augmentation misconception is that an implant can be selected based on a desired bra size. It cannot be done that way. The reason is that there clothing designers have no set standards for sizing. Cup sizes differ from one designer to the next the same way jeans do, and we all know how much we hate that! So the best thing you can do is focus on the look you want and forget about cup size. You will likely by a larger cup size than you think. The "wish" pictures you have seem very reasonable for your frame. Make sure you have clearly communicated your desired look to your Board Certified Plastic Surgeon. Let them help guide you to the best choice of implant to get you there. 

Let's make some careful assumptions given your measurements...34 band width, small A cup, thin upper chest coverage(sub muscular position), and a 13cm maximum implant diameter. I would recommend  a smooth, round High Profile implant 450 or 500cc. This will be close to a full C cup size.Sizers are a great option to use in the office. They help patients see the added volume and new cup measurements.  

Thank you for your question and photos.  Fortunately your breast look to be normal shapes and you should have a good result from your breast augmentation.  It is important that you have a plastic surgical consultation where biometric measurements can be made of your breasts.  You should focus on the look you want and not cup size.  A breast implant sizing system evaluation can be used to replace implants the various sizes into a bra so that you can see how you will look with the size.That said you should be able to accommodate either implant.  The 355 will take you to a full C but if you want a D cup you may need to 395.  For more information on choosing breast implant size please read the following link: