34B adding 275cc moderate (Photo)

Question

Hi there. I'm getting my BA done in a few weeks. I'm having difficulty with sizing. Currently I am 34 B or 32 C. I am 115lbs and 5'4'. My doctor suggested 275cc mod. I'm just wondering if that will be enough to achieve a full D. I want my breasts to look as large as possible while still looking natural and in portion with my body. Any feedback appreciated. Thanks!

Jerome Edelstein, MD · Answer

Hello,
Thank you for your question.
It is difficult to make recommendations without
a full assessment and without your full measurements. Be sure to clearly explain your desired aesthetic goals with your Board Certified Plastic Surgeon. 
Take care.

Mathew A. Plant, MD, FRCSC · Answer

Unfortunately how many CCs of implant are required to go up a certain amount of cup sizes is not a straightforward answer. Cup size is determined by subtracting the measurement around your ribcage (the band size of a bra) from the measurement around your chest at the point where your breasts project the most. Because it's all relative to your band size a person with a small band will require less volume added (smaller implant) to go up in cup size than someone with a larger band. It will also differ wildly between bra manufacturers as there is really no consistency anymore between what a specific cup size is from one brand to another. One woman may be a double d in one brand and a c in another. A better way to choose your implants is to try on sizers with a bra you would like to fit in and simply see what you like best, ignoring the specific cup size. Ultimately, you have to trust your surgeon - that is why you chose them over all others in the first place! Hope that helps

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

Jed H. Horowitz, MD, FACS · Answer

This may provide you with some helpful guidelines. Usually if a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc. This is a general number, and of course there are other factors that will affect this. Other factors which contribute to the outcome are size, shape, and profile. The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. Another element to a satisfying result of your #augmentation is realistic #expectations.Talk to your surgeon at greater length and be sure to view before and after pictures and reviews beforehand to gain more reassurance of the procedure.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements.  Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone gel
implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Steven J. Rottman, MD, FACS · Answer

Thank you for the question and photograph. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. Choosing an implant too wide or too large will lead to problems in the future which will require additional surgery. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

Adam J. Oppenheimer, MD, FACS · Answer

Look as large as possible = a high profile implant.The size matters too, basically every 200cc is one cup size. If you're a full B now, you need 400cc to get you to a full D, so 275 moderate profile just ain't gonna cut it. See if you can re-size with your doctor and make sure they get the picture.

Kris M. Reddy, MD, FACS · Answer

There is not a direct correlation between breast implant size and cup size as the cup size varies greatly among companies and even within the same company. Moreover, cup size can vary based on who is performing the measurement. 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.

Robert S. Houser, DO · Answer

Here's a guide.  For a 34 inch chest, 150cc is about a cup size.  So if you are a 34B and want to be a 34D+, add at least 300cc.  For a 32 inch chest, maybe 125cc is a cup size.  It's hard to guide you without measuring myself, but you might want a little bigger implant and certainly a moderate plus profile at least, if not high profile.  A 275cc implant would certainly look great though!

Tal T. Roudner, MD, FACS · Answer

With out proper physical exam it is impossible to tell. I believe you may need a slightly larger implant then 275cc mod profile but like i said its impossible to evaluate with out an exam.Good luck!

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