Flat Chested 32aa. What's the Max Size/cc I Can Go? What implant size/profile/brand would you recommend? (photo)

The way we determine maximum augmentation size is through a combination of skin laxity analysis and native breast tissue measurements.  Even patients who are very "Flat Chested"  still have some breast tissue.  The goal of the augmentation should be to augment the breast tissue and not have an implant covered only by skin.  A 3D imaging system combined with careful tissue analysis will give you the best results.  Consult a board certified professional or a member of ASPS in your area for the safest outcomes. 

Dear Flat
Chested,



It is hard to
determine what size implant would work for you to get you the best results
without examining you. There are many other measurements that need to be taken
to determine what would fit you. However, there are many different sizes and
shapes that we can pick from. I am sure that a C cup is obtainable for you.
Because your chest wall measurement is fairly small, it does not take a large
implant to make you a C. One thing many people do not understand (in US
sizes) is that a 32 C is not the same size as a 34 C. It is actually closer to
a 34 B in volume.

Hope that
helps!

Congratulations on deciding to undergo breast augmentation surgery. Thank you for your question.You asked about implant size, profile, and brand.Size and profile are chosen together based on your body type and look you want to achieve. In an average female, I estimate that for every 150-175cc will increase the cup by one size. So, going from an a to c, you would expect to start around 350cc range. Now, the profile is dependent on your breast measurements. Ideally the implant is centered under the nipple. Usually I try and stay in the moderate plus to high profile range. Moderate profile is too flat and looks like a pancake and I feel that the ultra-high profile does not make for a natural look.As for brand, go with the one that your surgeon feels most comfortable using. Other choices include over/under the muscle, incision placement, and whether or not a textured implant would be a good option. Lots to consider and therefore important to choose the right surgeon. Board certified/eligible is important.Best of luck.- Dr Bryson Richards, MD

Based on your photos you are a great candidate for breast augmentation. Although implant size does not correlate to cup size I would say you can easily achieve the look of a C cup. Ensure you consult with a board certified plastic surgeon - I also recommend to bring in photos of your goals (wish pictures).

Finding the correct size, by taking correct measurements is possible by using biodimensional planning techniques. This will take into consideration the woman's size, chest width, etc. Significant expertise on the part of a physician is required to create a breast profile that looks beautiful and natural. Additionally, much care and expertise is needed to prevent events like bottoming out, symmastia and the "double bubble" There is a certain range of shapes and sizes for each woman in order to achieve a natural result. I have used Mentor, Natrelle (allergen and Sientra breast implants. They have have their good points. Find a plastic surgeon who is experienced with all of these implants so you can be sure you are getting the breast implant that is right for you, and not just the implant on hand. 

Without photos, there is little information we can provide. However, you can make some generalizations about the procedure.There is no way to reliably pick which implant is right based upon your measurements alone and implant "CCs." Many things such as your skin quality, breast width, skin elasticity, existing breast tissue, chest wall shape and implant size and implant fill all contribute to your ultimate "look" after augmentation.
No physician can predict what each implant will do on your body until they are "sized in surgery."
The best way to achieve the look you want after augmentation is first a consultation with a board certified plastic surgeon and adequate communication with your surgeon. This is accomplished through the consult, exam, measurements, anatomic assessment and then in-office sizing. We also encourage patients to bring in photos of the "look" they are trying to achieve. Once all of this has been accomplished, the patient needs to put their trust into their physician to make the "best choice" of likely imperfect options. Then, you will get your "version" of your ideal outcome.
Best of luck,Vincent Marin, MDSan Diego Plastic SurgeonMarinAesthetics.com

Thank you for the question. As you consider breast augmentation surgery, the most important decision you make is NOT size/profile of breast implant, but selection of plastic surgeon. 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.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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 "C cup" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. The use of computer imaging may be very helpful during this communication phase.
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.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link (dedicated to breast augmentation surgery concerns), helps.  Best wishes.

It's not really possible to offer a useful answer here.  An in person exam, or some measurements other than the ones you provided would be needed, and a caution that there are no fixed cup size definitions.Best sizing, I feel, is achieved by trying on sizer implants, and using that info to choose the best size,which is often 10% larger than what looks good in the sizers. Your own anatomy can be limiting, either by the width of the breast or by the distensibility of the breast tissues, either of which could mean a satisfactory result may require some compromise with size goal. An in person consultation will better provide you with useful advice.All the best. 

Thank you for your question.  I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX

I think your goal of becoming a C cup is definitely achievable.  It is difficult to say what size implant that would be without a thorough examination.