I am currently a 36C, sometimes D. What size do you think I would be if I added a 500cc implant?

Question

My breast are a little deflated and sag a bit. I'm going to be getting a lift and augmentation but really need sizing advice. I was thinking 500cc. Is that outrageous? I want a really full DD I'm 5'6 and 150lbs. I have a pretty big but as well so I think it will be okay... what size do you think I would be if I added a 500cc implant? My PS said he would remove 130grams of tissue from me for my lift.. Help please

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question. If you have clearly voiced your goals with your surgeon and he or she is board certified in plastic surgery as well as an expert in the breast augmentation procedure, then I advise that you trust his or her opinion on what would be best for you.All the best,Dr. ResultsMiami, FL

Jed H. Horowitz, MD, FACS · Answer

This is a difficult question to answer with just the numbers given and depends largely on examination in consultation. 500cc is considered a larger size implant. These are questions you should discuss with your surgeon to figure out what is best for you based on your anatomy.#PlasticSurgery #BreastAug #Implants #surgeryprep #choosingimplants #Breastlift #mastopexy

Jerome Edelstein, MD · Answer

Hello,Aside from determining what implants will fit you with a physical exam/measurements, choosing a volume from that range that you like the look of is easier if you can try on the sizers in office under a light-coloured, form fitting t-shirt. I wouldn't recommend that you focus on cup size as this can never be guaranteed. Choose the implant, approved by your Plastic Surgeon, which you are most comfortable with.Good luck!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.This is very difficult to answer without a photoOverall, larger implants can lead to problems longtermThe sizing is based on your chest measurements The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz

David A. Bottger, MD · Answer

Its very hard to say what a 500 cc implant would achieve without more information. A lot depends on how much breast tissue you are starting out with. The best method to help determine how large to go with the implant is to try on various sizers  during your consultation.

Michael J. Brown, MD · Answer

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, thank for your height and weight and breast size estimates,
they do help. There is really no way to accurately predict what size you would
like without an examination. During your examination and consultation, you
should try on some sample sizes and see what you are comfortable with. Then the
PS can help explain with the size and current condition of your breasts the
effects of those sized implants will have on you.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you. They have the experience. If you are
uncomfortable, go on another consultation.

Best wishes,

Dr. Michael J. Brown 
Northern Virginia Plastic Surgeon

Paul Gill, MD · Answer

Thank you for your question.  You are an excellent candidate for breast 
implants and can have significant improvement in your body image and 
self confidence. It is much better to accurately discuss 
implant volume and projection with an in office exam and detailed 
measurements. In order to make an accurate size recommendation, I
 would need to assess your chest wall and breast mound 
measurements/characteristics. I use these measurements to help me during
 the sizing process to guide you to a safe result for your chest wall 
and just as important, one that meets your end desires.The next 
step is to try on this range of implants in the office with your doctor.
 The key to this success is showing your surgeon the body proportion you
 desire with a bra sizer and allowing your surgeon to guide you to the 
right implant. It will be much easier to communicate in implant cc's 
than cup size when determining the appropriate implant for you during 
the sizing process. In addition, review of photos and use of 
rice bags can be very helpful to the patient and surgeon in achieving a 
safe and happy result. Close intereaction and involvement from your 
surgeon during this process can help alleviate the anxiety and fears of 
choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Tom J. Pousti, MD · Answer

Thank you for the question.  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, and computer imaging) will be critical.  Given that your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.

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 know words such as “natural” or "full DD 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. 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 (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Sugene Kim, MD, FACS · Answer

There are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I usually do not talk about cup size. As you know, cup size varies with brand and styles of bra. I would go for the desired look. Review before and after photos and see what kind of look that you want. Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. More meaningful recommendation can be made based on direct examination and in-person consultation. Please visit with a board-certified plastic surgeon.Best regards.

Robert Singer, MD · Answer

The best
cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: Your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 D-DD and a 36 D-DD are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no
direct correlation between an implant size or shape and resultant cup
size.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest that your plastic surgeon be
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

I am currently a 36C, sometimes D. What size do you think I would be if I added a 500cc implant?

Answers (10)

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