Which size of implants should I get? I’m a 34A at most and want a C cup (photos)

Question

I had my consultation last week and tried on 340cc and 365cc implants as I initially wanted a small D. Since then I am thinking I want to go smaller, as I want it to look natural and not too big. I don’t have that much breast tissue so what size of implants would you recommend? Thanks!

Scott W. Vann, MD, FACS · Answer

The average size implant I put in these days is 350-375 and usually end with patient being a full C in average size patients 5'2" to 5'7". If you are taller you will likely need larger implants to achieve full C. Smaller implants if you are shorter. Your final test should be actually trying on implant sizers in your surgeons office and "fine tuning" the exact size you want. Good luck.

Caner Kacmaz, MD · Answer

The procedure takes one to two hours. You will likely be given general anesthesia, during which you will be "asleep" and pain-free.

The surgeon will make a cut under your breasts, under your arms, or around your nipples, depending on your body, the type of implant, and how much enlargement is being done.

The surgeon will put the breast implant into a pocket above or below your chest muscle. After the implant is in place, the surgeon will close the cuts with sutures or surgical tape.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donald R. Revis Jr, MD · Answer

Good afternoon,
Only you really know what size will make you most comfortable and most confident- and the best way to figure that out is by taking several different tops to your PS' office and trying on the implant sizers- good luck!

Nelson Castillo, MD · Answer

Thank you for your question and photographs.  I think you are starting from an excellent position and should anticipate a nice result.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations.  Your surgeon should be able to provide you with sizers that you can try on during your appointment so that you can have a better visual representation of what each size would look like. Best wishes

Daniel Barrett, MD · Answer

Dear TR3005,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (300 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. The 350 Moderate Plus may well “fit” your breast, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Connie Hiers, MD, FACS · Answer

The best range of sizes for you is based on measurements and the amount of breast tissue present. However, you would probably do well with 275 to 350 cc range. Your surgeon who has measured you can guide you to the best size. Also, go back and try on smaller sizes to see what you like.

Ali Gurlek, MD · Answer

Thank you for your question.
i would recommend 360 cc implants If you're considering breast augmentation, talk to a plastic surgeon. Make sure you understand what surgery involves, including possible risks, complications and follow-up care.

Which size of implants should I get? I’m a 34A at most and want a C cup (photos)

Answers (9)

More Breast Implants Questions

WE SEND PRETTY
EMAILS

Answers (9)

More Breast Implants Questions

How much Increased risks from 700 to 800cc silicone implants?

Do my breasts sit low? (Photo)

Is 200cc enough for me? Should I go under or over muscle? (Photo)

Will 225 and 275cc subglandular, high profile implants give me a natural look? (Photos)

Is the risk of capsular contracture higher in patients with an autoimmune disease? Would breast implants flare up my MS?

375cc silicone gel implants or 450cc to go from 36A or 36 B to a full 36D cup? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS