Terrified of choosing a breast implant that is too large! Will 300cc, 325cc or 350cc's bring me to my goal cup size? (photo)

Question

I am a 32A or AA (not sure). I am 5'7", 117 lbs and have a very small ribcage (27"). My goal size is a large B to very small C. I just don't want to end up with D's or DD's because I am not fond of the look on slender framed girls. I have fairly curvy hips 36" and I want them to have a nice hourglass figure.

Joe Gryskiewicz, MD, FACS · Answer

You have a very tiny ribcage, so you need to be careful to not choose an implant that is too wide.  You may want to discuss with your plastic surgeon the option of a high profile implant.  The measurements that are taken are very important to review.  At our office we use the guide of 200 cc per cup size, so a 300 cc implant size should put you a cup size and a half larger.  You should try on the implants in the doctors office to make sure you are comfortable with the size that you choose.  Best wishes to you!

Christopher J. Morea, MD · Answer

It is impossible to give you an accurate answer based on a photo without a physical exam and consultation.  I will say that many patients, like you, have great concerns about choosing the correct size implant.  My advice would be to trust the surgeon you chose as the sizes you have listed above do not seem too large for your frame in my opinion.Best of luck,

Gary M. Horndeski, MD · Answer

At
size 32 each 100 cc’s of implant corresponds to 1 cup size change.  200 cc implants would take you up to a size
C.  I always recommend small round
textured silicone gel implants placed retro-pectoral since they look and feel
more natural, are more stable, less likely to ripple or have complications
needing revision.  Implant profile is
irrelevant in the retro-pectoral position since the muscle compresses it.  I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast LiftTM.  Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.
Through the same incision, implants can be placed.  Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant. Best Wishes,Gary Horndeski, M.D.

John LoMonaco, MD, FACS · Answer

Your question is best answered by "trying on" implant sizers in the presence of your surgeon and deciding what volume in cc's matches your desires.  Just going on cup size alone can be misleading.You do not have  a lot of excess skin so there will be some limits as to how large an implant you can have.

Kenneth Hughes, MD · Answer

I think that trying on sizers in the office is the best way to get a sense of the size.  I think that the sizes you have listed are all reasonable. Find a plastic surgeon who performs hundreds of these surgeries each 
year, has great reviews, and has great before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Ryan Neinstein, MD, FRCSC · Answer

You need to have your surgeon measure your base width, your nipple to fold and assess the degree of stretch you have to come up with a value, without seeing you I would expect to offer something like 255-275 though

Sacha Obaid, MD · Answer

All of the sizes you mentioned are reasonable given your frame.  The final decision is one that is best made by trying the implants on in your surgeon's office.  Good luck.

Antoine A. Hallak, MD, FACS · Answer

In my own practice we keep silicone gel
implants of all sizes available for patients to try on in a testing
bra.  This is not a perfect teaching tool because under the muscle
implants tend to lose some projection, but because my patients look it actual
implants on their frame I find it the most helpful.

I encourage my patients to bring a friend or
friends for a second or third opinion, and to bring a few different shirts.

I suggest as you look at implants you think
about the relationship between the width of the breast and the width of the
shoulders and hips.  Two wide will make you look top heavy, too narrow
will make the breasts look like torpedoes. I personally like to see the outer
curve the breast have balance with the curve of the hip.

Once we hone in on the right diameter we then
look at the projection of the breast which changes the cup size.  At the
correct diameter we can use a high moderate or low profile implant depending
upon the patients goals.

Depending upon the starting situation, and the
degree of droop we adjust accordingly.

Photographs of your goals are helpful, but
they don't always tell the whole story.  They don't always let you know a
height and width of the entire patient.

Kris M. Reddy, MD, FACS · Answer

The size of the implants are based on a combination of a patient's goals
 and objectives and her anatomy. In order to provide a natural looking 
augmentation, the surgeon needs to evaluate many factors including soft 
tissue coverage, skin laxity, chest wall width, breast imprint width, 
the shape of the breasts and relative level of constriction to ensure 
that the breast implants are appropriate for your body. Consult in 
person with 3 experienced and expert board certified plastic surgeons to
 understand your options.

Angela Champion, MD · Answer

Yes!  Generally speaking, 200cc is about a cup size, give or take, so the 300cc range you have chosen should be close to target to achieving a B/C.  If your are unsure, try them on so you can get a better idea of how they may look and feel.  ac

Terrified of choosing a breast implant that is too large! Will 300cc, 325cc or 350cc's bring me to my goal cup size? (photo)

Answers (17)

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