Currently a B/C, what size breast implants shall I get? (Photos)

Question

What cc implants is best for me? I would like largish boobs (in the Double D area). I'm currently a size B/C. I am aware of slight sagging so I have been told I need largish implants to help 'fill them out' and slightly raise the nipple. (I'm not wanting a lift at this stage) Last picture is dream boobs. Thanks!

Finny George, MD · Answer

Hi, thank you for sharing your question. Implant sizing is not possible with just photos. Measurements and a proper exam are required. A dual plane augmentation will help you achieve the results in your goal photo.

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." 
Based upon your goal photos, you would likely need to consider a larger implant. Without an exam or measurements a more specific recommendation is impossible. It is also important to remember that implants do not lift at any size. You do not appear to need a formal lift but I would not expect a loft from an augmentation alone.
Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon.

Daniel Barrett, MD · Answer

Dear Newme1806,
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

Carlos Marciales, MD · Answer

Hello, if you want a DD, with the size you have I think you need some implants of 500-550 cc, thanks

M. Scott Haydon, MD · Answer

Thank you for your question and the photos. Looking at your dream boobs, I'm concerned that you are going to get a very large/heavy implant that might not keep its position well and could stretch out the pocket. This would increase the risk of implant malposition, asymmetry and the need for revisions. Withoug examining and measuring you, I can't say for sure, but I think that 350-400cc either standard dual plane beneath the muscle, or possibly subfascial with mesh support are two good options. You have a fairly high/tight IMF crease and so the subfascial plane might be good  if it includes the mesh support to help lower the IMF some. Implants don't lift the breasts, they just make them bigger. Larger implants certainly don't lift the breast, they just increase the risk of complications. Revisions are expensive, so make sure you know all the things to consider and discuss with your surgeon
Best of Luck!

John L. Burns Jr., MD · Answer

I'd suggest a dual plane technique.  To pick implant size and profile I suggest using 3D breast implant imaging which shows both volume and profile.

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 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Warren Schutte, MD · Answer

The best way to feel comfortable about your implant size choice is to be a very active participant in your size choice. In our clinic, we have all patients try on sizers to find the volume that they are liking. We are a team in making sure that the measurements and profiles are correct and safe choices, but you as the patient have the highest success rate if you play an active role in the decision making.

Gerald Minniti, MD, FACS · Answer

You will not look like your goal photo because you have too much breast ptosis to achieve it without a breast lift. Using an ever larger implant will not change the relationship of the nipple to the breast mound. Implant selection is best determined by in office sizing. Go to a surgeon who will do the right things for you and not some 'yes man' who's going to tell you that you'll be fine with a larger implant.

Gary M. Horndeski, MD · Answer

Unfortunately, you did not tell us your bra size. If you are 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can compute the volume needed to achieve your desired goal. However, do not believe that large implants will fill out your breasts. If anything, the added weight will make them low on the chest wall. Your breasts are already low on the chest wall and adding more weight will make the situation even worse. If you look at your ideal breasts, you will see the breasts are wider than the chest wall. This means they will be mechanical unstable, will descend inferiorly and laterally and will need a revision. You need to consider more conservative size implants and a possible lift.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Currently a B/C, what size breast implants shall I get? (Photos)

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