Will 325cc or 345cc give me the "natural" look, although I realize there is no "cup" size. I want full B/small C

Question

I am 5'5 114 lbs, 2 kids, I am looking to achieve a very natural look...a look that suits my petite body type. I am a small a cup now looking to be full B small C .... No bigger! I am stuck between 325cc-345cc round cohesive gel under the muscle. I have seen two different PS and one did the 3D imaging. I have chosen one and he did recommend a size. I go in next week for surgery...But I'm still in question as most do...just double checking opinions of others. Thanks so much

Nathan W. Patterson, MD, FACS · Answer

At your petite size, you will most likely have a C cup with either one of those 2 implant choices.  I noticed that you are selecting a round implant.  You state that you want a very natural look.  Shaped implants generally give a more natural look.  That is not to say that you will not look good with round implants.  You might see about actually trying on implants in a sports bra to see what they actually look like on your body.  As you probably know, examination and discussion in person is usually  best bet.  I hope this helps.  Best of luck!

Keshav Magge, MD · Answer

Thank you for your question.  The right amount to increase cup sizes varies from patient to patient and honestly, there will be almost no significant difference between the two sizes you have chosen. Twenty cc is a very small amount.  I counsel patients that if there are trying to decide between two sizes to go towards the bigger one.  Patients usually wish they went a little bigger, and rarely wish they went smaller.  All the best,

Roy A. Semlacher, MD, FRCSC · Answer

As a rule of thumb to increase one cup size in a normal sized lady takes about 190cc. Therefore if you want to go up 2 cups sizes it would be about 380cc. Since you want to increase to a full B/ small C 325/345 should achieve your goal. A good way to assess this is by taking sandwich bags and fill them with rice or water to 325cc and place beneath a sports bra. Look in the mirror. If this looks good to you then you have a good idea of the size you should choose. Of course the final decision would be done by your plastic surgeon considering your anatomy dimensions as well as how it looks in the OR if your surgeon uses "sizers" before committing to a final size.

Tom J. Pousti, MD · Answer

Thank you for the question. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. Online consultants will not be able to provide you with specific enough advice to be truly helpful.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.Given that your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.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. 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. For example, I have found that the use of know words such as “natural” or "full B, small C 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Gerard Lambe, MBChB · Answer

There will be very little noticeable difference between the 2 sizes you mention and no one can recommend a size based on your measurements without in person exam. 3D imaging a good tool but will not show you exactly what you will look like. In General most people wish they had gone bigger but the ultimate decision is yoursbest wishe

Will 325cc or 345cc give me the "natural" look, although I realize there is no "cup" size. I want full B/small C

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