What size should I expect with 310cc implants?

Question

Hi I'm due to have surgery in a few weeks I am currently 32/34 A and having 310 cc Implants my stats are 5.5 ft and 65kgs (just under 10 stone I believe) thanks

William Andrade, MD · Answer

Hi, there is no perfect association between implant volume and final cup size because many other factors affect the final size of the breast.  These include the pre-existing breast size, chest shape, and even the type of bra chosen.

Athanasios Christopoulos, MD · Answer

Based on your description, the size that you must expect is a full 
B or C. You must take in consideration that the choice of the implant is not 
something simple, because it depends on different factors. One factor is the 
width of your chest and other factors are the elasticity of the skin, the 
laxity, the thickness of the underline tissues, etc. The same implant size in 
different persons may look differently and the same volume of implant  may 
be found in different shapes. Any breast cannot accept any type of implant. So a 
detailed discussion with the plastic surgeon that you trust will give you the 
reply.

William Townley, MD, FRCS(Plast) · Answer

Hi there. You can see from the wide variety of answers so far that predicting bra size post augmentation is an imperfect science - no one on this forum will be able to give you an accurate answer based on the limited information available! The consultation is the best opportunity to discuss implant size and projected cup size. If you have not had the chance to discuss this, I would go back before the operation for another discussion or see another surgeon. Good luck!

Joe Gryskiewicz, MD, FACS · Answer

Hi Miss Newby,Here are a few tips for you because this is perhaps
the hardest decision for a patient to make, as well as the surgeon.  Also see the video attached to my answer.  We spend up to two hours for our BA consults
to be sure there is careful communication. We do a full exam in front of a
full-length mirror taking six exact measurements.  We put your photos on a large computer screen
for imaging, and go over your “ideal-size” photos. We then save this
information to your password protected “web account.”

First and
foremost the implant should fit the dimensions of your breast and tissue cover.
 Balancing the implant to your
over-all body shape and tissue cover is essential.The main thing is to have the diameter of the implant fit the diameter of
your breast "foot print".  The average size
chosen over our last 7,000 breast implants was “350cc”.  BUT, 90% of our patients tell us they wish they were bigger a year after
BA.  (We will see you every year for
routine checks at no charge.) It’s like your mind incorporates the "new
you" into your own self-image over a period of time. Cup size estimates can be misleading, but I generally advise patients
that they will experience an increase of approximately one cup size per 200 cc.
 You can try on implants in the office by
placing them into a special bra.  The implant is also flattened somewhat when under
the muscle, so it is a good idea to bump it up a bit. Approximately 1-ounce (25cc) is added to the final volume to account for
flattening of the implant in the partial sub-muscular pocket.  Once you decide on a size you like, then add
on 25cc, because in real life the implant will be flattened slightly by your
tissues.  Multiple measurements need to
be taken to fit an implant to your exact anatomy.  Have your surgeon's office
show you the charts of the implant dimensions for the various profiles of
silicone and saline from the manufacturer.  Then you and your surgeon can
piece together the puzzle by matching your measurements, with your wishes,
versus your tissue cover and the available implants to arrive at
a surgical plan.  Keep in mind
larger implants tend to have more problems over the years.  Since silicone implants wrinkle less than saline
implants, they might be your best bet.

You can
also approximate this at home by measuring out an equivalent amount of rice
placed into a cutoff foot of old panty-hose, and put this in your bra.  Wear this around the house for a while, and
see what you think.  Implant size must
square with assessments of tissue cover, breast diameter, and chest wall width.
 Multiple measurements of your chest wall
are taken (seven in total).  Implant size
selection has been an issue of much discussion.

Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.  Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape.  A photo album of patient
pictures is maintained to assist them.  These photos ultimately help in determining
where the implants will be placed, since they can be shifted inside (to provide
more cleavage), to the outside, up or superiorly, and down or inferiorly during
surgery.  In determining the final size
selection, I always place the highest priority on the preoperative measurements
and potential tissue cover.  Finally,
your verbal requests are factored into the analysis.

We use
the quick-recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick-Recovery (Flash-Recovery or
Rapid-Recovery) Breast Augmentation articles from peer-reviewed surgery
journals.  It is a surgical procedure that
uses special instruments and techniques to minimize tissue damage and avoid
touching the ribs. It causes far less trauma to surrounding tissue than traditional
approaches, and it dramatically reduces pain and recovery time. In published
studies of BA patients, 95-percent of women interviewed after the procedure
returned to normal daily activities within 24-hours. Quick-recovery BA is not a
“gimmick.”  These specialized techniques,
which actually speed recovery and get you back to your daily routine, kids and
work, are published in our plastic surgery journals.  Because these PS journals are “peer-reviewed”
and edited, they are the gold-standard in our field as being valid science.
Therefore, these are sound techniques, not marketing hype.

Be sure
to see only a board certified plastic surgeon (by ABPS - The American Board of
Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic
Plastic Surgery) and or a member of ASPS (The American Society of Plastic
Surgeons).  Also, ask if the PS has an
established, high volume breast augmentation practice, performing several
hundred breast augmentations each year.  Be sure the PS has been in practice for a
while, about 20-years might be a good gauge. 
Does the PS offer all three incisions? 
Discuss the implant type (gel or saline), shaped "gummy bear"
or non-shaped, smooth or textured, implant pocket (over or under the muscle)
and the "quick-recovery approach." 
Ask to see their before and after photos if you didn’t see any on their
website.  If they are experienced, they should have several 100 breast
implant patients for you to view.  I would also recommend that your doctor
offer you the chance to talk to past patients who would be happy to discuss
their experience with you.  You need to feel comfortable, so make sure the
environment is safe as in an accredited surgery center.  Also, ask a prospective surgeon if he or she
has ever published journal articles in professional peer-reviewed journals,
which they can provide you.

All the best, “Dr. Joe”

Paul Banwell, BSc, FRCS(Plast) · Answer

Hi there Thanks for your kind questionIt is always difficult to guarantee cup sizing with implants as all bra manufacturers have slightly different sizing. As surgeons we can only deal with absolute volumes and it sounds as though you feel happy with your choice of 310. That said, as you have heard from other colleagues, we estimate that each cup size is represented by 120-150cc. Good luck!Paul Banwell Kent/Sussex/London

Bryson G. Richards, MD · Answer

Thank you for your question. Given your height a weight, you can expect an increase in cup size for every 150cc. A 310cc implant will likely provide a two cup increase in breast volume. This is a rough estimate. In our practice, we spend a significant amount of time to
help our patients choose the perfect implant. We use silicone sizers as well as
3D imaging to give a preview of postoperative expectations.

Be sure to consult with a board certified/eligible plastic
surgeon.

I hope this helps.Dr. Bryson Richards (Las Vegas Plastic Surgeon)

Nelson Castillo, MD · Answer

Thank you for your question.  It sounds as if you are convinced on the size and style of implants that you feel give you your desired results.  This is the most important decision to be made, so best to allow your surgery results to mature and then fit your bra to your new implants, as bras vary from brand to brand.

Robert Singer, MD · Answer

The best
cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: Your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 C and a 38 C are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no
direct correlation between an implant size or shape and resultant cup
size.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest you find a plastic surgeon
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. If you live outside of the United States, the surgeon should
ideally be a member of the International Society of Aesthetic Plastic Surgery
(ISAPS).  You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Laurence Kirwan, MD, FRCS, FACS · Answer

That's a great question and a difficult one to answer. You would think that your height and weight were the most important elements of the calculation but the critical details are your current breast and chest size (32/34 A). The amount of breast tissue you already have will be added to your implant size. Generally a cup size is equivalent to 150cc so based on this alone you will be a C cup (150 plus 310 = 460 which is about three cup sizes. The unpredictable items are the manufacturer of the bra and how they size the cups as well as the shape of your chest and the elasticity of your tissues. If you have had children or lost a lot of weight, there will be less support for the implants and this may change the shape or apparent size of the breasts. I hope this is helpful.

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. 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, and computer imaging) will be critical. Given your questions and concerns, I would suggest that you spend additional time communicating 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 "C or D 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.

What size should I expect with 310cc implants?

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