How many cc's to get to mid to full C cup from 36A/34B? I'm trying to decide between 360 cc and 385 cc.

Question

I'm 32 year old mom. I am 5'6 or 5'7 and around 130 lbs. I am athletic build, and currently a 36 A or 34 B. I am scheduled for surgery in one month, and I'm trying to decide between 360 cc and 385 cc. I know it's a tiny amount, but would love any suggestions any one has on which way to go. Would like to look like a mid to full c. I do not want to look too big, that is my biggest fear!! But also I want to be able to tell that I got something done;).

Scott W. Vann, MD, FACS · Answer

I always give my patients a range of safe for them implant sizes to try on, and let them choose with our help. Once you get down to two sizes I feel you should usually choose the larger of the two. Later regrets are usually wishing they were a little bigger not smaller.

C. Bob Basu, MD, MPH, FACS · Answer

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

Gaurav Bharti, MD, FACS · Answer

These decisions are best made after examining you and also on intraoperative findings.  Detecting size difference between 360cc and 385 cc will be very difficult.  Have extensive discussions with your surgeon and ask yourself if the surgeon is between two sizes do I want bigger or smaller and most of the time patients say bigger.  Good luck, Gaurav

Jon E. Rast, MD · Answer

The difference in size will not be clinically different.   15cc is 3 teaspoons. If you are comfortable in that size range I would normally recommend the larger size.  More patients state they wish they were larger than smaller.  Best of luck !

Tom J. Pousti, MD · Answer

Thank you for the question. There is no accurate correlation between size of breast implant and cup size achieved.
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  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 "mid to full C cup”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
 The use of computer imaging technology may also be very helpful during this communication process.
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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions. 
By the way, the difference in the breast implant sizes that you mentioned in your question may not even be clinically noticeable; if in doubt, go with the larger breast implant.  The most common regret after this operation is “I wish I was bigger”. I hope this (and the attached link) helps.

Eric Desman, MD · Answer

First, the difference between 360 & 385 cc is less than two tablespoons! My bottom line recommendation would be to go with the bigger size - you will never wonder or worry. Also, realistically, as a lay person, you will be hard pressed to visually see a big difference between 360 & 385 cc. If you were to watch another person's operation and they first filled an implant to 360 and then added 25 more cc, I suspect you would say it looks just a little bit bigger & you would be correct. Don't sweat the decision.More importantly, did you custom fit the implants to your body? 
In order to properly size implants, you need measurements of several key
 
items. Regardless of what manufacturer of implant your surgeon uses, 
they all have what is called dimensional fitting systems. These systems 
basically take some measurements of your breast width, height, and 
tissue stretch to determine the optimal volume for your particular 
tissues. i.e. What can your tissues handle? That is the "science" of 
determining the optimal size implant for your tissues. The artistry with
 your surgeon comes in taking the ideal size and working with some 
judgement to get you as close as possible to your desired outcome.  So 
someone 5'7" 130 lbs with
 3 children vs. someone with no children may have different optimal 
volumes due to the differential stretch in their tissues.  You can 
Google
 "High Five Augmentation" to get a quick idea of the process.

How many cc's to get to mid to full C cup from 36A/34B? I'm trying to decide between 360 cc and 385 cc.

Answers (6)

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