Breast augmentation. How many cc's would you suggest? How many cup sizes does 500cc add?

Hi, I'm 27 years old, healthy, no medical history, athletic slim looking though round around the hips, 5'9 in height, getting a breast augmentation on 500cc from a 34c, getting it done Under the muscle, round implants. Will this be too big? I wanted to go bigger but needs to look proportional to my body. How many cc's would you suggest? How many cup sizes does 500cc add? Kind regards

Doctor Answers 16

Breast augmentation. How many cc's would you suggest? How many cup sizes does 500cc add?

Focus on the look not the cc or cup size. Patient's often regret decisions based on extraneous factors as you may end up with suboptimal result. Bra's vary from store to store, and cc's mean nothing in isolation. You should be measured during your consult and offered implants within a 5mm window of those measurements in multiple styles. For what's its worth, in my experience a dimensionally sound mod+ profile tends to go from an A+/B- to the magical full C or small D. A high profile (or SRF) would be about 100ccs larger to maintain the same base width and more like a Full D but VS will call it a DD or DDD, particularly in a 32-34. Ultimately, try on the different styles and look in the mirror. When you see the look you like, pick that style! This requires a consult, exam, measurements and sizing with a board certified plastic surgeon. My patients select the implant style and their chest dimensions dictate the number of cc's. I make specific recommendations to each and every of the augmentation patients I see annually based on: 1) dimensional planning 2) expressed goals 3) amount and quality of tissue to hide the implant. I have included a link with my explanation of the different implants and what to expect from your consult as well as hundreds of before and after photos to see what change implants of a particular size deliver. Best of luck. #drfeldman #BancroftFeldman #breastaugmentation #sugarland #HoustonTX

Breast Augmentation

Hi SAB,  500cc is above average in size, but you are tall.  Usually it is 200cc per cup size, so roughly 2+ cup sizes for you.  Here are a few tips for you because this is perhaps the hardest decision for a patient to make, as well as the surgeon.  Also see the video attached to my answer.  We spend up to two hours for our BA consults to be sure there is careful communication. We do a full exam in front of a full-length mirror taking six exact measurements.    We put your photos on a large computer screen for imaging, and go over your “ideal-size” photos. We then save this information to your password protected “web account.”

     First and foremost the implant should fit the dimensions of your breast and tissue cover.  Balancing the implant to your over-all body shape and tissue cover is essential.    The main thing is to have the diameter of the implant fit the diameter of your breast "foot-print".  Higher profile implants tend to have a smaller diameter.  Higher is really a marketing term, but often translates into the same volume implant with a narrower base.  Saline implants actually tend to decrease in diameter as they are inflated!  The average size chosen over our last 7,000 breast implants was “350cc”.  BUT, 90% of our patients tell us they wish they were bigger a year after BA.  (We will see you every year for routine checks at no charge.) It’s like your mind incorporates the "new you" into your own self-image over a period of time. Cup size estimates can be misleading, but I generally advise patients that they will experience an increase of approximately one cup size per 200 cc.  You can try on implants in the office by placing them into a special bra.  The implant is also flattened somewhat when under the muscle, so it is a good idea to bump it up a bit. Approximately 1-ounce (25cc) is added to the final volume to account for flattening of the implant in the partial sub-muscular pocket.  Once you decide on a size you like, then add on 25cc, because in real life the implant will be flattened slightly by your tissues.  Multiple measurements need to be taken to fit an implant to your exact anatomy.  Have your surgeon's office show you the charts of the implant dimensions for the various profiles of silicone and saline from the manufacturer.  Then you and your surgeon can piece together the puzzle by matching your measurements, with your wishes, versus your tissue cover and the available implants to arrive at a surgical plan.  Keep in mind larger implants tend to have more problems over the years.  Since silicone implants wrinkle less than saline implants, they might be your best bet.

     You can also approximate this at home by measuring out an equivalent amount of rice placed into a cutoff foot of old panty-hose, and put this in your bra.  Wear this around the house for a while, and see what you think.  Implant size must square with assessments of tissue cover, breast diameter, and chest wall width.  Multiple measurements of your chest wall are taken (seven in total).  Implant size selection has been an issue of much discussion.

     Therefore, I use a wide variety of methods, but the implant size is always established preoperatively.  Also, patients are advised to bring reference photos demonstrating their ideal size and shape.  A photo album of patient pictures is maintained to assist them.  These photos ultimately help in determining where the implants will be placed, since they can be shifted inside (to provide more cleavage), to the outside, up or superiorly, and down or inferiorly during surgery.  In determining the final size selection, I always place the highest priority on the preoperative measurements and potential tissue cover.  Finally, your verbal requests are factored into the analysis.

     We use the quick-recovery approach, so click on the web reference link below to have this explained and you can see the list of Quick-Recovery (Flash-Recovery or Rapid-Recovery) Breast Augmentation articles from peer-reviewed surgery journals.  It is a surgical procedure that uses special instruments and techniques to minimize tissue damage and avoid touching the ribs. It causes far less trauma to surrounding tissue than traditional approaches, and it dramatically reduces pain and recovery time. In published studies of BA patients, 95-percent of women interviewed after the procedure returned to normal daily activities within 24-hours. Quick-recovery BA is not a “gimmick.”  These specialized techniques, which actually speed recovery and get you back to your daily routine, kids and work, are published in our plastic surgery journals.  Because these PS journals are “peer-reviewed” and edited, they are the gold-standard in our field as being valid science. Therefore, these are sound techniques, not marketing hype. 

     Be sure to see only a board certified plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons).  Also, ask if the PS has an established, high volume breast augmentation practice, performing several hundred breast augmentations each year.  Be sure the PS has been in practice for a while, about 20-years might be a good gauge.  Does the PS offer all three incisions?  Discuss the implant type (gel or saline), shaped "gummy bear" or non-shaped, smooth or textured, implant pocket (over or under the muscle) and the "quick-recovery approach."  Ask to see their before and after photos if you didn’t see any on their website.  If they are experienced, they should have several 100 breast implant patients for you to view.  I would also recommend that your doctor offer you the chance to talk to past patients who would be happy to discuss their experience with you.  You need to feel comfortable, so make sure the environment is safe as in an accredited surgery center.  Also, ask a prospective surgeon if he or she has ever published journal articles in professional peer-reviewed journals, which they can provide you.      All the best, “Dr. Joe”



Breast Implant Size for an augmentation mamma-lastly

Hi and thanks for the question. In order to give you good advise, I would require your breast size pre-procedurally, breast dimensions and associated tissue laxity, as well as your idealized results. Without this information, its impossible to know what size implant you would need. 

Best of luck,

Dr. Vallecillos 

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 29 reviews

Suggested CCs

Thank you for your question. Unfortunately, there is no way to judge exactly how many cup sizes 500cc will add to your breasts. There is no standard measurement for bra cup sizes, leaving the label completely up to the particular brand or manufacturer. The best way to choose the right implant volume and type for your situation will be through an in-person examination with a board certified plastic surgeon. At this appointment, you will try on implant sizers, which will allow you to judge how the different cc’s and shapes look on your unique body type. For the clearest results, wear a sheer bra and a thin t-shirt when trying on your implant sizers. 

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 99 reviews

Silicone implants, some advices:

Thank you very much for enquire.
I recommend you to use microtexturized highly cohesive silicone implant ("gummy bear" implants), with high projection, and 550ml will be excelent on you, to fill the breasts properly.
Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 145 reviews

Breast Implant Sizing

The exact choice of size that will work best for you is an important decision that you should make with your board certified plastic surgeon. 3D Vectra imaging and simulation, the Mentor gel sizing system, rice filled implants at home in your bra, and bio-dimensional analysis are all methods that can be employed to help you come to a decision. Because size is such an important component of decision making in breast augmentation our office employs all of these techniques with each patient to ensure the highest rate of satisfaction possible. Good luck with your decision!

Implant size

The implant size that will best fit your frame will be based on the measurements of your chest combined with the look you desire.  Many surgeons have various sizes and styles of implants in the office that you can "try on" to determine which size may be best for you.  A 500cc implant will look very different on a person will a narrow chest wall versus a person with a wide chest wall.  The determination for appropriate implant size and style is best made together with your plastic surgeon.

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 28 reviews

Size Options


Thank you for your question. The specific measurements of your breasts and examination of your tissue will help your Plastic Surgeon select a few implants which fit you well and provide the proportionate look you want. What that translates into for implant volume and projection will be different for everyone. The 500 cc implant you are considering may fit you proportionately and look great. My patients find it is most helpful to try on the implant sizers in the office with a form fitting T-Shirt in order to see how they will look.

Be sure to select a board certified Plastic Surgeon whose results appeal to you.

All the best

Implant selection

Hello and thank you for your question.   The size of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.  This entire surgery can be performed with a small incision technique.  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.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 67 reviews

Implant size vs. Cup size

Thank you for your question.

Please know that it is a common misconception that implant size correlates with the bra cup size. A bra-cup size itself requires many measurements to describe it.

Bra sizes vary among manufacturers, and they can label the cup size by any designation they choose. So a C will be a D for another. Additional factors, such as demi and full cup coverage, specific fabrics, padding, and elastics, can all affect the fit of a bra.

If we consider all things being equal – i.e., you get a bra from the same manufacturer and of the same style, - then I think you might find it helpful to know that a study by Dr. Bengtson and Dr. Glicksman titled “Standardization of Bra Cup Measurements” has shown that the average implant volume required to increase the cup-size by 1 size is equal to 205 ccs. Therefore, a 500 cc implant may increase your cup size by 2. However, it is also important to considering the profile as even a small implant with a high profile can increase cup-sizes by the same amount.

Now, it may be helpful to do bra-sizing trials with the bra of your choice when you go in for a pre-operative consultation with your board-certified plastic surgeon. Now, although you give importance to cup size designation, what should matter most is that the implant looks good aesthetically and that the chosen bra fits and feels comfortable. I believe you recognize this as you mentioned you want the implant to look proportional to your body.

Note that board-certified plastic surgeons will assist you in choosing an implant that is more tailored to your breast characteristics in order to provide natural looking breasts.

The implant has to fit YOUR body dimensions. The more you deviate from the proper fit, the more fake your breasts will look.

Surgeons use what is called tissue-based planning. The planning takes into account the effects of implants on tissues over time, risks of excessive stretch, excessive thinning, visible or palpable implant edges, visible traction rippling, ptosis (Sagging), and breast tissue wasting.

To determine the implant size, breast measurements must be made: 1) Base Width of the existing breast tissue, 2) breast skin stretch, and 3) Nipple-to-Inframammary Fold distance. The combination of these measurements will help determine tissue coverage and the required implant volume to optimally fill the breasts.

So please focus more on having full and natural looking breasts rather than trying to fit into a particular bra-cup size.  

All this being said, if you trust your surgeon and their judgment and the decision-making method used to choose the implant size, then you should be in good hands. Make sure to fully and comprehensively share your desires, expectations, and concerns to avoid miscommunication and post-operative concerns/regrets.

Hope this helps

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 414 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.