I Want As Natural Looking C As Possible, Will 275-300cc Moderate Plus Memory Gel Get Me There? (photo)

Thanks for adding photos, especially the goal photo. Since breast base measurements are different for each measuring surgeon (there are no "sharp" beginnings and ends of breast diameters, and what you are really measuring is the anticipated pocket diameter, to give the best appearance), I'd not worry too much about your BWD being too narrow for moderate plus implants.

I might even consider moderate profile 300cc implants (12.6cm diameter) if your actual pocket dimensions allow this--the widest implant will give the best cleavage and the most natural look.

As to volume (size choice), 275cc and 300cc are indistinguishable in your body, since they are less than 2 tablespoons different! Adding 300cc should add just over 1 bra cup size to whatever size you wear now, and should come close to the goal you have chosen.

Since the most common reason for re-operation is "too small," consider 300cc to be the better choice and ask your surgeon to use the widest profile possible that "fits" your pockets without binding or folding of the implant shell. Best wishes! Dr. Tholen

Advising you on how many cc's you'll need from your photo as well as dimensions would be great to do online, but better advice can be given in person.  If you're concerned that you'll be too large after surgery, I would recommend placing different size implants underneath your bra to get an idea of how you'll look after surgery.  Also, cup sizes vary from store to store so you can be a D cup in one store's bra and a C cup in another.  If you'd rather be too small than too large, I would advise going with an implant on the smaller end of the spectrum of sizes that you're considering.  Good luck!  Dr. Schreiber, Baltimore plastic surgeon

At size 32 A each 100 cc’s of implant corresponds to 1 cup size change.  You would require 200 cc implants to obtain a C.  I always recommend silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision.  Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it.         

 

Best Wishes,

Gary Horndeski, M.D.

Lettering of cup sizes is not an exact science. It is highly subjective. In my practice, if a woman with an "A" cup comes in requesting a "solid C" I would probably offer her an implant around 375 to 400cc. Hope that helps.

I think you and your doctor have chosen a fine implant size! Both sizes great. Good Luck.

Although silicone implants are our best approximation of natural breast tissue, they are not natural breast tissue. What makes your breast look and feel natural is your own breast tissue over the implant. Staying with an implant with the appropriate base diameter and a moderate to moderate plus profile should keep the proportion of implant to breast tissue in a natural looking range. Sounds you're in just the right range, and you can be comfortable with your decision. A 25cc volume increase between the two implants you are considering will not make the difference between natural vs unnatural. I think you can pick the one you want. I usually have patients try on implants in the office, view their proportions in a mirror, and decide on their final volume from there. That way, you are in control of your final result. 

Predicting breast implant size is quite difficult, and even 'experts' argue about implant shape, breast dimension and BWD. Unfortunately there is no way to measure your breast, apply a formula and come up with the right 'number' and perfect result every time. Consistent excellent results take experience and look for a surgeon prepared to deliver. You should consider only what you wish your result to be, and if the result is perfect the number is meaningless.

Dear Flojo,

Thank you for your post.  You should really choose implants not on cc's but based on your body dimensions.  First you need to measure your breasts width.  This is your ideal width not your current width.  Currently you have a small gap in between your breasts as well as the breast crease is a little high.  This gap will be 'augmented' after the augmentation if it is not dealt with.  Choosing an implant too narrow or creating the pocket too separated will keep this gap.  Once this implant width is chosen, you then pick the profile of the implant based on desired cup size.  Since you are an 'A' and sounds like you desire a 'C', you will be looking at Moderate Plus Profile.  The following link is of a girl similar to your body with similiar goals.   Notice that the gap between her breasts was closed and the crease was lowered.  One final thought:  Choose a silicone implant.  You are very thin and although a saline implant can be made to look ok, they will feel like water balloons.

Best Wishes,

Pablo Prichard, MD

This is the approach I use to help guide my patients with their implant size selection:  I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system

Dimensional 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.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Dr. Basu
Houston, TX

At those size goals, you may want to consider using high profile implants which will be within the 11 cm width guideline, or downsizing a bit (like 50 cc) to stay with the moderate plus implants. SInce there are no standards for cup size, I prefer not to guess. Some surgeons estimate a cup size increase for each 150-250 cc of implant. 

A discussion of options with your surgeon is in order.