34AA wanting full B cup and natural look. How to choose between 225cc and 205cc?

Appropriate breast implant size is determined by your breast measurements, your frame, existing breast tissue and size you desire.

Generally, 200 to 225cc should not be too dramatic a difference in cup size. Patients usually opt for the larger size provided their measurements will accommodate.

I frequently use sizers during surgery to confirm final implant size.

Further discussion with your surgeon is recommended until you are comfortable.

Thanks for your question!
Post surgery, most patients wish they had chosen the larger implant. Contact your surgeons office and schedule an appointment to try on implants again. Best wishes!

Dear smartflower8,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

At size 34, each 100 cc of implant corresponds to 1 cup size change. 200 cc implants would take you from a AA to a B.

Best Wishes,

Gary Horndeski, M.D.

The additional 20 cc's will not make you too large. I would suggest going with 225 and placing the implants behind the muscle for better coverage.

Both of the implants you are considering are conservatively sized. The difference of 20cc is equal to just under 1 1/2 tablespoons of fluid. I often use sizers during surgery. This allows me to determine which implant fits the breast space best when a patient is deciding between implant sizes.

The size options you are debating between are extremely close. There is only 20cc's difference. That is only 4 teaspoons! Try putting 4 teaspoons of water in a Ziplock bag, squeeze out all of the air and put it in you bra. See if you can tell any the difference. It is a minuscule difference. If you are debating between these 2 sizes, go for the larger. You will not regret it. The best thing to do is find a plastic surgeon who offers Vectra Imaging. This system will show you Exactly what you will look like with any implant size you would like to see.

With your measurements and your height, I would go with the 225cc implant. There is minimal difference in size between the 2 implants… less than a tablespoon.

Each plastic surgeon will have their own way of guiding patients through implant selection.
Some providers do this better than others.
My personal preference is to work with before and after pictures.
I usually have patience select pictures of their ideal outcome.
Once I have a clear understanding of what the patient is hoping to achieve, I use temporary sizers during surgery to determine what sizing plant will create the outcome consistent with the images. Patients showed me during consultation.
I typically have a full selection of implants available in surgery and pick the implant after expanding sizers to obtain the desired outcome.
I found this to be the most accurate way of communicating and delivering consistent quality outcomes.
Best,
Mats Hagström MD