Is 345 cc enough to be a D cup for me? (photo)

It would be interesting to know the height and weight of the questioner to get an idea of their frame size. In general, a D cup would not be achieved with a 345 mL implant although honestly, there is no standard as to what a D cup is. Probably of more concern is the very short distance from the nipples to the inframammary fold and a larger implant, for example 400 mL, has a larger diameter and would require manipulation of the fold under the breast. It is difficult with a photograph alone and not a physical exam to determine how tight the skin at the fold is in may be one of the reasons why the surgeon suggested a bit smaller implant which may be more realistic in getting a good result. Remember also that fat transfers can be performed after primary augmentation if one feels that primary augmentation would benefit from that. In my practice it is very rare to do a fat overlay although there is a percentage of plastic surgeons that are embracing this.

Thank you for your inquiry!! Come in for a consult and try on some implants. See what size your prefer.
We would love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon