Looking for sizing recommendations!

Question

I'm 5’6, 110 pounds, small frame, small breast cage. I’m going to say my cup size right now is a B cup. Measuring between both nipples 7.5inch. I’m looking to get saline breast implants but I can’t seem to decide on a size. I’m looking to be a D, I do not want a settle/small change, I would like a noticeable change. I have attached my photo, and the inspiration pics of what I’m looking for. I’m looking around 270-300cc which I believe will achieve the look I want. Is that reasonable?

Leila Kasrai, MD, FRCSC · Answer

Your goals do sound reasonable however you would require a further assessment. Your surgeon will provide you with a range of sizes based on this assessment.

Gary M. Horndeski, MD · Answer

At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. At size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine the volume required to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style 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 size and style breast implant is right for them. Mildly  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Jeffrey M. Darrow, MD · Answer

Be sure your plastic surgeon does dimensional measurements of your breasts so you understand what your breast envelope will naturally accommodate.  Approximately 250cc of additional volume will increase your breasts a cup size.  Therefore, 300cc, 325cc or 350cc will move you up to the cup size you seek.  You need to decide if you wish to lean to the more conservative volume increase or choose a fuller look.  Best wishes.

Gerald Minniti, MD, FACS · Answer

It's bad enough when a patient asks the surgeon to guess what size implant is required to get a specific bra size or match a 'goal photo'. It's worse on Realself. The only safe way to select the right implant for you is either 3D morphing photography, or better, in office sizing. Sizing is real time and really you. This eliminates guessing on the part of the surgeon (one quarter of revision breast augmentations are for size change), and financial and emotional stress on the patient. Even if you get the cup size you want, you may still be dissatisfied. Goal photos and cup sizes are irrelevant. So is input from friends and family; to be honest, they don't know what they are talking about. Go find a great surgeon who uses morphing technology or sizing to select your implants.

Daniel Barrett, MD · Answer

Dear Fearless91667,
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

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!When it comes to sizing a lot of factors are involved , volume is just one of them . You do seem to have some discrepancy in your breast size which is normal but you might end up having two different volumes in your breasts. That being said without an actual exam and standardized pictures and measurements I cannot give you an exact number for volume but it seems that you are within the ballpark for your desired look. For a personalized plan I would recommend consulting with a plastic surgeon in person.I hope this helps, best of luck!

Connie Hiers, MD, FACS · Answer

The 250-300 cc range should look nice on you. I would suggest meeting with a plastic surgeon and actually trying on that range of sizes so that you can see and feel how the implants will be. Going with larger implants may be too heavy on your neck and shoulders.

Kenneth R. Francis, MD, FACS · Answer

Dear Fearless,
Your breast implant sizing range is spot on for your goal result.  There are many methods of determining a breast implant size and profile including 3-D imaging, breast dimension measurements, bra cup sizing, inspiration photos, all of which help to finalize the right breast implant for you.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for a consultation, examination and discussion of your breast implant sizing.  Good luck!