Choosing the right implant size. Any suggestions?

Had my initial consultation went really well decided on 240cc implants over the muscle. I'm worried after reading reviews they won't match my desired size of a 'full' c cup can I change my mind at pre op appointment?

Doctor Answers 16

Choosing the Right Implant Size

Here are 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.

Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Choosing the right implant size. Any suggestions?

Thank you for your question, Congratulation for your future operation yes you can change your size during your consultaion and  also ask for the best advice from your surgeon before operation.

You are not alone - many people worry about the implant choice.

Hello Scarlett,

You ask a very common question and you are not alone in worrying about this.  I have put together a webinar on this topic, so click on the link below if you would like to join this.

The simple answer is that we will not be able to tell you whether this is the right size for you without having a consultation and examining you, so if you are concerned, you should probably seek a second (and third and however many you need) opinion until you are comfortable with the implant choice.

Good luck.

Hi, scarlet

Size is a critical question for many women who choose breast augmentation. The key is to work with a Board Certified plastic surgeon with expertise and experience in breast augmentation. There is an ideal shoe size for your foot. Too small and your foot will be crammed and too large and your foot will not fill the shoe. The same thing is true with breasts: too large and it will look round and fake; too small and it will be loose and empty on the top. The common denominator to the most beautiful breasts is that they were sized objectively on the basis of measurements. We combine a proven formula based on measurements of the rests and chest along with through discussions of patient's desires. Photos of ideal breasts and results from patients with similar breasts are often very helpful in the discussion. A rice test in the office or at home can also be very helpful.

Eduardo Orozco, MD
Colombia Plastic Surgeon

Choosing the right breast implant size. Any suggestions?

Choosing the correct breast implant size is a very important decision which should not be rushed.  Breast implant size should be based on the base width of your breast which her surgeon should have measured.  Trying on breast implant sizers can also be very helpful.

Generally speaking figure on 150-200 cc of breast implant per cup size increase that you want.  For more information on choosing breast implant size please read the link below:

You may also try the Rice test which is described in the link below:

Choosing implants

Your best bet when you are trying to decide on implants is to try on sizers of the exact implant you are considering inside a very tight sports bra. This will give you a close idea of what you will look like. More importantly the dimensions or width of the implants need to match and fit your frame and body. If you are working with a board certified plastic surgeon with an expertise in breast augmentation he or she should be able to help you with this in their office. Good luck!

Dean Vistnes, M.D.
Vistnes Plastic Surgery
San Francisco Bay Area

#drdeanvistnes #breastaugmentation

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 40 reviews

Breast augmentation

Thank you for youe question.  Depending on your surgeon, you may be able to request being re-size prior to surgery.  That is dependant entirely on your sugeon and their policy.  If you are not ccomfortable you can always scheudle a consultation with a different bpoard certifie dplastic surgeon to get a second opinion on the matter, but that choice is entirely up to you.

With kind regards,
Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.
Las Vegas Plastic Surgeon

Lane Smith, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 84 reviews

Breast Implant Size


Thank you for your question. Bra cup sizing is really variable. There are no standards for bra manufacturers and your frame/anatomy will change the measurement of band, etc. I recommend that you focus on the look you like when sizing, the fit, and your Plastic Surgeon's expertise.

All the best

Breast Augmentation/ Breast Implants / Anatomic Gummy Bear Implants/ Silicone Implants/ Breast Implant Revision Surgery

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

Choosing the right implant size.

You should be able to change your implant size.  You may want a second consultation to review sizes again with your plastic surgeon.  Your final size remember is a combination of your original breast volume which will vary from patient to patient and the volume of the implant.  So what you read about an implant yielding a certain size bra is going to be inaccurate if it does not take into account your starting breast volume.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.