For your height/weight and natural DD cup, 400 cc seems just right.

Published on Jul 11, 2012

If you are 38DD, 400cc will definitely not make you look too big. You are definitely doing it the right way: place the implants now so that you have the size you want in clothing and you don't mess up breast feeding; wait for the pregnancies and breast feeding to change things (in unpredictable ways), and then have a breast lift to give you the perfect shape and symmetry that you want, after you are done with pregnancy.

Published on Jul 11, 2012

Size is really subjective and my suggestion is to talk with your plastic surgeon. Most patients are more concerned about being too small after their breast enlargement!

Published on Jul 11, 2012

Adding 400 cc's to someone your size will only serve to pull your breasts down more prematurely. Furthermore you would be grotesquely large. Wait until after you have children and reassess the situation.

Published on Jul 11, 2012

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.

Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins").

A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.

When sizing patients, there are a number of useful tools including:

-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)

-Breast sizers (rice bags)

-Goal photos

I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Published on Jul 11, 2012