5 Wks Post Op, 400 Cc High Profile Implants, What Cup Size? (photo)

Hello, I am 5 weeks post op. I had 400 cc Mentor High Profile implants put in under the muscle (partially). I did not have a lift. Prior to surgery I was a 32A, I had shown my PS pictures and said I wanted to be a very full C. I am 5'2 and weigh 122 lbs. I measured my breasts yesterday and I am only measuring as a B cup. I am very disappointed. Also, although they appear round from some angles, from other angles they almost look flat. Did I go to small implant wise? Will they always appear flat?

Doctor Answers 18

5 Wks Post Op, 400 Cc High Profile Implants, What Cup Size?

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I never promise a cup size to my patients before or after surgery. We discuss cup size only to use that information for me to gain a complete picture of my patients desires. There is no true standardization as far as bra manufacturers and cup size. Overall, based on your pictures, and your descriptions, it appears that you have a nice augmentation. Furthermore, I still believe you should allow several more weeks for the implants to fully adjust before you make a final determination for yourself. Wishing you all the best. 

Cup size is hard to determine...

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Occasionally, we see patients who have difficulty reconciling their expectations with their actual surgical result.I personally feel that you have an excellent result and I would measure your breast size as C cups.Your breasts have harmony, balance, and proportion with the surrounding structures.You have a natural look with upper breast fullness.
It’s important to realize that most patients tend to speak in terms of cup size.Unfortunately, cup size isn’t always helpful, because manufacturers of bras label their products differently and women don’t always wear their bras the same way.In other words, some women wear their bras snugly, while others wear them loosely.This creates communication problems when talking cup size.
In an effort to determine breast size in a more objective manner, we utilize external silicone sizers and the Vectra 3D computer imaging system.External sizers are designed to sit on top of the patient’s breasts.They can be held against the patient’s chest or placed inside the patient’s bra.This technique helps the patient visualize what their breasts will look like with a specific sized implant.It also gives them a sense of the volume that will sit on their chest wall and how it feels.
The 3D Vectra imaging system is a relatively new technology that we have found to be extremely helpful for determining breast implant size.The system allows a patient to visualize different sized implants on their actual body.Patients find this to be extremely helpful.
The ability to visualize the projected surgical result alleviates much of the anxiety associated with this procedure and minimizes confusion in the postoperative period.It’s still early in the postoperative course and changes in your breasts may still occur.In addition, you may eventually adjust to your new breasts.It’s important in the interim to maintain good communication with your surgeon.

5 weeks Postop - 400cc HP implants. What cup size?

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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.

You out should await for swelling to subside and settling of the implants, which takes a few months. Then, you could get sized and fitted in bras. 

Hope me that this helps! Best wishes for a wonderful result!

Volume (cc s) and cup size

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For where you started (A cup) considering your height and weight,  400 ccs seems a very appropriate choice for your implant volume, given your desire for a full C cup.  Round implants will give a more "artiifcial" look in general.  For 5 weeks I think your result is good and if given time, when measured will likely achieve your cup size goals.  Keep in mind if you wear a Victoria Secret bra count on a full cup size difference as their bras run smaller.  chris@heddenmd.com

Post op breast augmentation

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You certainly look to be at least a C or D cup.  Remember that all bras are different and that the doctor cannot dictate a cup size in the result.  You really couldn't go with a wider implant so having 400 HP is about as big as you could have gone.  As for the flattness, give it 6 months but you might need a lift to get more forward projection from the tissue.  The implant is already doing all that it can.

Breast Size after Augmentation-Mastopexy

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From your pictures, you look larger than a B cup.  I would suggest going to your local bra store and have them measure you if you are concerned.  


Good Luck

Cup size after augmentation

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You are a full C or small D in my estimation. Don't get hung up on cup size, which is manufacturer based. The important issue is whether you are happy with the size of your breasts.

Early and impossible

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It's still to early to see your final result and it is impossible to predict your cup size as every store you go to will give you 10 different cups of all different sizes that fit you. Then you will find a few that you like in all different sizes. It depend on you  and the store not the plastic surgeon.

5 Wks Post Op, 400 Cc High Profile Implants, What Cup Size?

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You are going to see the difference just after the procedure. However it is necessary to wait for some time in order to see the final result. After the breast augmentation operation the recovery period depends on your physical status, age, general health and condition mainly. The operation itself does not take too long therefore you receive a mild anesthesia. Since the anesthesia that you receive is mild; you will not have problems associated with anesthetic agents after the operation. This is especially important and can be achieved with only a team of plastic surgeons like we have. After the operation you will be advised to wear a corset in order to reduce the edema. You can start to do your daily activities just after the operations but we do not advise you heavy lifting, running or activities that require excess physical activity. The more you rest, the faster your recovery will be.

Fit the augmentation to the body, not the bra!

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The cup size on a bra is variable based on the manufacturer. For this reason, we don't guarantee cup sizes. 400cc high profile implants give a lot of projection and volume for a 32A breast. Given your photos, you now have large breasts, but they fit your body shape. In our office, we refer women to a bra specialist for fitting (they are very common in the mastectomy departments of Nordstrom's or Macy's). We have found many women have no real idea of how to try on and properly choose a bra that fits them. Regardles, rather than focus on the cup size, how do you feel about the size of your breasts and how you look in clothing? As for some flattening and contour deformities, at 5 weeks you are still very early in the recovery period. Wait until you are 3-6 months out before becoming too concerned about these issues.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 26 reviews

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