Will 290cc silicone get me from a B to a full C?

Question

Scheduled for BA next week. 5’2, 110 pounds small B cup.  I will have a donut lift after nursing 2 children. I am small B, will 290cc silicone get me to a full C? My PS plans to utilize moderate profile for the more natural look.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women with similar measurements with different size breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Mark E. Mason, MD · Answer

A 290 cc implant is not a large implant, so you most likely will be able to achieve the size you want to be. Just remember that all cup sizes are not standardized so a C cup bra from one company may be a D cup in another one. I typically have my patients try on implant sizers before surgery under a fitted shirt to approximate the look that they want. I would advise you to speak to your plastic surgeon if you have any concerns.

Gary M. Horndeski, MD · Answer

You
have not told us your bra size, just your cup size.  If you are 32 or 34, each 100 cc of implant
corresponds to 1 cup size change.  If you
are 36 or 38, each 200 cc of implant corresponds to 1 cup size change.  From this, you can compute the volume
required to achieve your desired goal.Best Wishes,Gary Horndeski, M.D.

Richard Rosenblum, MD · Answer

Thank you for your questions. There is no guarantee for a specific cup size. In our office, during the consultation you have the opportunity to try on different size implants to determine which size and look you like the best. You should talk to your surgeon if you have any concerns about the size you have chosen. Good Luck.

Daniel Barrett, MD · Answer

Dear  gcbrown,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

Joshua Kreithen, MD · Answer

Dear gcbrown,
Sounds like you are a petite person.  Your 290cc implant will certainly get you to a full C or even a D cup. Not sure if it will look "natural" however.  Hope this helps and good luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Congratulations on your upcoming procedure.  The
best advice you can receive is from an in-person consultation.  Generally speaking, a 290cc implant can accomplish your goal of going from a B to a full C cup.  In regards to the donut mastopexy portion of your surgery, it really depends on how much lift you require.  For any significant amount of lift, I rarely recommend a Bennelli or circumareaolar (donut) lift.  Over
time, the areola tends to enlarge with a thickened scar.  The other even
worse problem with a circumareaolar lift is that it flattens out the
shape of the anterior breast over time.  A vertical or wise pattern lift
with an implant can result in a very nice shape if good technique is
used.      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.   
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Michael J. Denk, MD, FACS · Answer

Sounds reasonable. You are quite slight and a 290cc implant should get you to a full C. Cup size is the most convenient way of talking about breast size, but the way one woman wears a C cup bra may be completely different than the way another woman does. I assume you’ve tried many implants on during your consultation.  If not, you should try 290’s and other sizes on with your own T-shirts and blouse over them. I think this is the best way for the patient to know what the results will be like, Typically, the PS or his nurse will assist you in the sizing,  and if they’re experienced and have done this hundreds of times, you should get a feeling of reasssurance. If you don’t, I would step back and reassess. Best of luck.

Tom J. Pousti, MD · Answer

My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.

One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?

Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

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. For example, I have found that the use of words such as “natural” or "full C cup” etc means different things to different people and therefore prove unhelpful.

There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. For example, I do not think that the generalizations of "200 cc equates to 1 cup" hold any validity or are helpful in any specific or practical way.  In my practice, I ask patients not to communicate their goals, or evaluate the outcome of the procedure performed, based on cup size references. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

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, after the use of temporary intraoperative sizers.

I hope this helps. Best wishes for an outcome that you will be very pleased with.

Jorge Jiménez Toribio, MD · Answer

Hi darling, thank you for your question. 
Rounded ones would be perfect for why you're looking for, some high profile ones may help you achieve the look that you're expecting to have but it is hard to tell which size fit better because it depends on your frame, body type, etc. It is vital to remember not to exceed on the Size of the implant just to make sure is not exaggerated because rounder implants can easily be noticed. 
I recommend consulting a board certified plastic surgeon who can give you a proper assessment of your case and determine which options are better for you. 
Kind regards, 
Dr. Jimenez Toribio 
Plastic and Reconstructive Surgeon.

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