I'm 22 years old, 5'3", 133 lbs, and my breasts are about 11.5-12 diameter. What are my options for implant sizes if I want a small D cup?

Answers from doctors (6)


John Diaz, MD, FACS

Published on Apr 14, 2017

It is very difficult without seeing you in person to know what implant sizes are appropriate for you. Implant size selection is customized based on your measurements, so not every implant will fit properly and has to be within your measurements. We have a device called the Vectra 3D imaging system that simulates what your result will look like based your measurements and on the implants selected for you.

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Answered by John Diaz, MD, FACS

It is very difficult without seeing you in person to know what implant sizes are appropriate for you. Implant size selection is customized based on your measurements, so not every implant will fit properly and has to be within your measurements. We have a device called the Vectra 3D imaging system that simulates what your result will look like based your measurements and on the implants selected for you.

Published on Jul 11, 2012


Stephen Greenberg, MD

Published on Apr 10, 2017

While chest measurements are one consideration when determining the appropriate implant size for a patient, nothing can replace the importance of an in-person exam.

I would recommend scheduling a consultation with a board certified plastic surgeon who is well-experienced in breast augmentation procedures to determine your candidacy and the best plan of action based upon the cosmetic result that you desire. Many plastic surgeons, myself included, offer complementary consultations and various imaging technologies to help patients decide what implant (profile, size, type) works best for them!

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Answered by Stephen Greenberg, MD

While chest measurements are one consideration when determining the appropriate implant size for a patient, nothing can replace the importance of an in-person exam.

I would recommend scheduling a consultation with a board certified plastic surgeon who is well-experienced in breast augmentation procedures to determine your candidacy and the best plan of action based upon the cosmetic result that you desire. Many plastic surgeons, myself included, offer complementary consultations and various imaging technologies to help patients decide what implant (profile, size, type) works best for them!

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Apr 10, 2017

Every 120-150cc of breast impant will give you an increase of one cup size. So, if you are an A now and you want to go to a D cup, then your implant size should be about a 450cc.

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Answered by Edward Domanskis M.D.

Every 120-150cc of breast impant will give you an increase of one cup size. So, if you are an A now and you want to go to a D cup, then your implant size should be about a 450cc.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Apr 10, 2017

Wanting a 'small D' does not give surgeons any information about your aesthetic goals. Additionally, we cannot guarantee cup sizes, so the too often method of requesting cup sizes leads almost as often to disappointment, frustration, and re-operation. Instead, have a surgeon size you in the office so you can see in the mirror how you'll look with various sizers. Much more important than getting your aesthetic goal, is heeding your anatomic capacity and not choosing an implant too large. You've been lead to believe that breast base diameter is the only measurement in biodimensional analysis. It is not; there are other measurements that are just as important.

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Answered by Gerald Minniti, M.D., F.A.C.S

Wanting a 'small D' does not give surgeons any information about your aesthetic goals. Additionally, we cannot guarantee cup sizes, so the too often method of requesting cup sizes leads almost as often to disappointment, frustration, and re-operation. Instead, have a surgeon size you in the office so you can see in the mirror how you'll look with various sizers. Much more important than getting your aesthetic goal, is heeding your anatomic capacity and not choosing an implant too large. You've been lead to believe that breast base diameter is the only measurement in biodimensional analysis. It is not; there are other measurements that are just as important.

Published on Jul 11, 2012


Joseph Cruise, MD

Published on Apr 10, 2017

Thank you for your question. Unfortunately, without knowing your current breast size, amount of breast tissue, and either seeing pictures or evaluating you in person, it isn't possible to give you a proper answer.

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Answered by Joseph Cruise, MD

Thank you for your question. Unfortunately, without knowing your current breast size, amount of breast tissue, and either seeing pictures or evaluating you in person, it isn't possible to give you a proper answer.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Apr 10, 2017

You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Ultimately, careful selection of plastic surgeon and 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.

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. I have found that the use of words such as “natural or fake look” or "D cup” or "more projection 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.

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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.

Answered by Tom Pousti, M.D. (View Profile)

You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Ultimately, careful selection of plastic surgeon and 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.

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. I have found that the use of words such as “natural or fake look” or "D cup” or "more projection 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.

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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.

Published on Jul 11, 2012


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