Pre-Op 32c, 300 &325cc in 5 days. Can I change my mind now? Panicking I'm going to be a D and would prefer bigger. (Photo)

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Hope me that this helps! Best wishes for a wonderful result!

I would call your plastic surgeons office and asked to be resized today. Implants can be shipped overnight... so if you settle on a new size...there is plenty of time to order new implants...many surgeons have a supply in the office... I am sure your plastic surgeon would rather you have confidence in your selection vs doubt. 

I would recommend you resize with you plastic surgeon at your preop and have them heavily involved in your final decision.  In terms of size, It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

You absolutely can change your mind now. To get to a D or DD, you will probably need larger implants.It helps to get a visual on what you will look like. Try "New Look Now" for a rendering perspective.

It should not be too late to change your mind regarding size.  Mentor has a implant sizing system that may be useful for you.It would be beneficial to have a discussion with your surgeon prior to surgery so that he/she is on the same page about your desires and that appropriate implants are available for your procedure.

There are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX

Yes, you can change your mind.  It will be very important for you to immediately schedule another consultation with your surgeon.  There are several different methods available to help select the best implant for you.  Many surgeons utilize external sizing implants to help you visualize how you may appear after the procedure.  Many surgeons also utilized Vectra 3-D imaging to also help you visualize your potential outcome.  It is helpful to measure the base diameter of your breast to determine what size would be best for you.  You need to do what is necessary to feel comfortable that all of your concerns have been considered even if it means postponing your procedure.  Good luck.

Thank you for the question and picture. Based on your photograph, you are starting at a great place and should have a very nice outcome with breast augmentation surgery.  I  would suggest you call your plastic surgeon's office and request additional time to communicate with your plastic surgeon; it should not be too late to change the plan. 
Again,  have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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. I have found that the use of words such as “natural” or "D or DD cup" or "bigger than smaller" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.  The use of computer imaging may be very helpful during this communication phase.
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 amade during surgery.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link, helps.

Yes absolutely you can change her mind before surgery.  However you need to call your plastic surgeon and have an examination and resizing to be certain of your choice.  This must be accomplished in time for the surgeon to have your chosen implants on hand.Placing the implant on the muscle absolutely does not, repeat does not decrease breast implant size by one half.  In my experience the ultimate size is the same with the implant is placed under or over the muscle–just my opinion based on 34 years of experience.