It is difficult to give implant size advice over the internet, but going from an A cup to over 500cc in the first surgery can increase your chances of complications, including implant malposition and asymmetry.

Be sure you are speaking to a very well experienced PS that can give you sound advice as to what size implants are safe for your body.

I hope this helps

Published on Jul 11, 2012

You have an anatomic capacity, and to choose an implant that is larger will place you at high risk for many complications and re-operation. If your doctor has not determined your anatomic capacity by direct physical examination, you may want to go to one who does mind this very important issue.

As for your aesthetic goals, thinking in terms of bra cup sizes is a road to dissatisfaction and disappointment. In-office sizing will help you determine the size necessary to achieve your goals. But remember, if it is larger than your anatomic capacity, you are at risk for problems. Best of luck. Instagram: @drgeraldminniti

Published on Jul 11, 2012

Hi. I am excited for you. First, I would recommend that you consult with your board-certified plastic surgeon regarding your desires and concerns. Finding the appropriate breast implant size involves measurements of your existing breast size, the width of your torso, the amount of skin laxity (or the elasticity) of your natural breasts, the length of your torso in proportion to the rest of your body, and other factors. What you consider to be an appropriate size now may not be the appropriate size 20-30 years later.

Therefore, consideration of the permanent changes that may occur to your breast anatomy and chest wall muscles must be part of the discussion during the consultation. Trying different sizes and taking photos of yourself will be helpful. You will then be able to better determine the ideal proportion of your breasts to the rest of your body. Take time to explore your options with your surgeon in person.

Best Wishes,
Yongsook Victoria Suh

Published on Jul 11, 2012

Every 120-150 cubic centimeters of implant size increases the cup size by one. So, if you have 450cc implants, your cup size should increase by about 3.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
1441 Avocado Avenue, Suite 307
Newport Beach, California 92660
949.640-6324/1.888.234-5080(Ca)
FAX- 949.640-7347
Website: http://www.surgery-plastic.com
Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)
Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors
Plastic Surgery- 2005-2017
President,American Society of Bariatric Plastic Surgeons
www.ASBPS.org
Organoderm Skin care/ScaRxTape

Published on Jul 11, 2012

Thank you for your question. Unfortunately, in the absence of a physical exam, it is difficult to say with any certainty what implant size would be most appropriate to achieve the cosmetic result that you desire. The appropriateness of a specific implant volume, shape and/or profile is highly patient specific and is best determined at the time of a physical exam and consultation. At the time of your consultation it would be important for your breast base width and distance between your nipple and inframammary crease to be measured and for you to thoroughly review with your surgeon of choice your desired cosmetic result. Many plastic surgeons, myself included, offer patients 3D breast imaging to help elucidate what cosmetic result a specific size implant will afford and I have found that patients find this to be extremely helpful in making sure that they are picking the best implant for their anatomy.

I hope you find this helpful and I wish you all of the best!

Published on Jul 11, 2012

Thank you for the question. Despite your good description of body type and goals, online consultants will not be able to provide you with specific enough advice to be truly helpful. 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, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

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 "full B 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.

Published on Jul 11, 2012

Based on your information, it certainly seems that 550-600 cc implants will give you the result you are looking for.

Published on Jul 11, 2012