What size will I end up after getting 510cc Silicone implants?

Question

I am currently a 34B. I am due to have 510cc silicone implants placed under the muscle combined with a breast lift. Can anyone give me guidance on what bra size I will end up. My surgeon has suggested it may be a 34DD/E.

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!

Shahram Salemy, MD, FACS · Answer

Your question about estimating your cup size after a breast augmentation and lift is a really good one, and what we tell our patients is that it is really difficult to do so. What matters more I think is if you like to look, size and shape of the breasts after the procedure, and understanding that the bra size can vary depending on where you are fitted or the type of bra you choose.  If you feel a bit uncomfortable about the size, I would suggest chatting with your surgeon prior to surgery and perhaps resizing implants as well.  Hope that helps and good luck!

Tom J. Pousti, MD · Answer

Thank you for the question. There is no accurate correlation between size of breast implant and cup size achieved.
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'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 "DD/E 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 very helpful during this communication process.
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.

Terrence Higgins, MD · Answer

In order to better answer your question photos at a minimum would be helpful...  But consultation with a board certified plastic surgeon is best.  Take the time to get a second opinion or at least revisit the surgeon you have selected already.  The implant choice will have a lot to do with your dimensions of chest/breasts prior to augmentation.  I utilize VECTRA 3D imaging to help patients determine breast implant choice, both with and without mastopexy.  Best of luck to you.

Lee E. Corbett, MD · Answer

Any size estimate is exactly that, an estimate. As bra's all run differently and cup size varies based on your band. You will also loose a small amount of volume because of the lift. Your surgeon is the best person to guesstimate cup size for you. But remember, it is a guess.

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

I agree your question is better addressed to your plastic surgeon.510 cc breast implants are quite large especially when done in conjunction with a breast lift.  Please be certain to ask your plastic surgeon if he or she feels that implants that large may compromise your breast lift result.Cup size of bras varies with manufacturer and retailer so your final size will depend upon the store or you by your bra.

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