Is 445/450 cc enough to give me a D/DD? 5’11", 159 lbs (Photo)

Question

So my breast width is 13cm and I’m 5’11 159lbds I’m currently a 32 A/B cup and would like to be a D/DD. I have wide hips 45 inches and a smaller easier at 26 inches. Would like to be an hour glass rather than pear shaped My provider suggested a mid profile 445cc or high profile 450cc. Is that enough? I did the RICE test but not sure how accurate that is. Will 485cc be too big on me and cause complications? Thank you, A

Caner Kacmaz, MD · Answer

Thank you for your Question.

400cc is a good DD cup and you will have amazing results. ı would recommend a good 400cc

Leila Kasrai, MD, FRCSC · Answer

Ask your surgeon for sizers. They’re breast implants in a variety of sizes that can be put into your bra. Bring a bra in the size you want to be and a tight fitting t-shirt, then you can try on the sizers to see what would suit you the most.

Casey Anderson, MD, FACS · Answer

The general formula is each additional 125-150 cc is another increase in cup size. So, 450 cc would be 3 sizes larger than B which would be in the D-DD range. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 style breast 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 size and style breast implant is right for them. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame. 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 a series of 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!

Donald R. Revis Jr, MD · Answer

Good afternoon!
The 450-485cc range will likely take you up two cup sizes but the best way to determine the proper size and profile is for your PS to measure your chest, review photos with you , and have you try on the implant sizers in the office!

Kenneth Hughes, MD · Answer

Breast IMPLANT size has nothing to do with BRA cup size - which varies with each bra manufacturer. The average implant volume placed in the US is 350cc. A very general estimate is that one cup size is 150 to 200 cc of volume, but realize that no direct correlation exists between the two.
Your board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the 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 (445 mid profile and 485 high profile) 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. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Gerald Minniti, MD, FACS · Answer

No one knows what size implant will deliver a particular bra cup size; there simply is no correlation. That's why talking about cup size is hazardous to your satisfaction. Instead, your surgeon should size you prior to surgery in the office using purpose build sizers to determine the necessary implant volume based on your satisfaction looking in the mirror real time.

Daniel Barrett, MD · Answer

Dear AcupNomore,
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

Every woman has a different opinion about what a D/DD really is. Plus, bras are not made to  standardized sizes but vary greatly among companies. I would suggest going back to your surgeon and trying on those sizes so you can see how they look and feel.