Implant Size 500-600cc take me from a 36D to 36DDD?

Question

I am interested in breast implants and possibly a lift. I am current a 36D/38C 5'8" 180lbs. While i know it could not be exact i was wondering what size implant might take me to a full 36DD/small-med DDD or full 38D/DD. How accurate is the rice test and do I need to add additional ccs to convert to the size of saline under muscle implant I should use?

Gary M. Horndeski, MD · Answer

At
size 36 D each 200 cc’s of implant corresponds to 1 cup size change.  You would require 200 cc implants to take you
to a DD or 400 cc implants to take you to a DDD.  Unfortunately, you have not provided any
photographs.  Larger implants will not achieve
the projection that a lift can.  There is
a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM.  Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.  Through the same incision, implants can be
placed.  Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.  Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.  This technique maintains nipple sensation,
the ability to breast feed and increase projection without over
implantation.  Large implants are
unstable, will displace inferiorly and laterally requiring revision. Best Wishes,Gary Horndeski, M.D.

Asif Pirani, MD, FRCS(C) · Answer

There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.I hope this helps. Good luck!

Michael Baumholtz, MD, FACS · Answer

Hello!short answer is come visit for a face to face and we can discuss what's best for you!longer answer: there are no industry standards to cup size so it's all but impossible to predict. One brand's C may be another's DWe use VECTRA imaging to try to more accurately represent what someone may look like with implantsthe need for a lift?simply put - we want to avoid giving someone larger more saggy breasts by doing just an augmentation when a lift is truly needed. Without an exam - I can't tell you what's right for yougood luck whatever you decide

Ronald Schuster, MD · Answer

It is impossible to advise without photos or an exam. You are considering very large implants so I'm not sure any type of lift is going to come into play. If your body cannot support such an implant you could develop problems later. Be careful.

Morgan E. Norris, III, MD, FACS · Answer

Unfortunately, there is no way to guarantee a cup size.The best thing to do is have a full
consultation with a board certified plastic surgeon and “try on” different
implant sizes to determine the additional volume that is required to give you
the look you desire.Be well and good luck!

Jaime Campos Leon, MD · Answer

Thank you for your question.In my opinion a physical examinitation is required in order to obtain the desired breast size. There´s factors that a PS has to have in mind to reach the desired cup. To best help you send iun some pictures in order to determine which procedure and technique would be best for your case.

Curtis Wong, MD · Answer

and using rice in a knee high  nylon stocking does work effectively in helping patient decide if the size will fit on their bodies.  Use a unlined bra to help and whatever size you like, a general rule is to add 10% to produce the look you had with the sizer in your bra cup.  A cup is 8 ounces and an ounce has 30 cc's in it so a cup is 240 cc's.  2.5 cups should approximate the 600 cc sizer.

James R. Cullington, MD · Answer

In general 300cc is equal to a cup  size so an the surface 600 cc should do the job 36 to 38 is chest size and wil not change with implant Bra cup size are not standard but brand specific so you should be examined and try on implants to judge the size that you desire

Tom J. Pousti, MD · Answer

Ultimately, careful communication of your goals, careful measurements (dimensional planning),  careful selection of appropriate breast implants and skillful execution of the procedure will be important steps in achieving your goals.
 Generally speaking, the best online advice I can give to ladies who are considering  revisionary 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're 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 “D or DDD 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 helpful to patients;  this technology allows patients to visualize what their breasts may look like with different sizes/profiles of breast implants. I have found this modality to be a nice addition to the communication “tools” available.
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 hope this (and the attached link) help.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  I agree with others that I cannot answer your question without a formal examination, biometric measurements of your breasts, and a breast implant sizing system evaluation.500-600 cc breast implants are very large and can look a natural and most normal sized women.All the Rice test can be helpful biometric measurements by your plastic surgeon and the use of a breast implant sizing system in the doctor's office is more accurate.

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