I was a 38 B and now have 560cc silicone gel Inspira implants. Should I have gone bigger? Will my breasts look more natural with time?

I had a breast augmentation on April 8th. I feel like they are shaped funny and not as big as I wanted. I went submuscular. Prior to the surgery, I was a 38 B and now I have 560 cc silicone gel Inspira implants. I was hoping to be a DD. Should I have gone bigger? Will my breast take a more natural shape? When is a good time to get a new bra, and will I be a DD once my breasts have settled and healing is complete?

Answers from doctors (13)


Barry J. Kaplan, D.O.

Published on May 30, 2016

You should be a DD, especially in Victoria's Secret bras. However, there are other factors to consider: submuscularly takes longer to settle, but look more natural and for longer. Depending on your body size, 560 cc is a pretty good size and going larger is not compatible with more natural. Depending on your nursing history, it will take 2-12 months for the tissues to soften and the implants settle. I would suggest you not spend a lot of money on bras until at least 4-6 months postoperative.

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Answered by Barry J. Kaplan, D.O.

You should be a DD, especially in Victoria's Secret bras. However, there are other factors to consider: submuscularly takes longer to settle, but look more natural and for longer. Depending on your body size, 560 cc is a pretty good size and going larger is not compatible with more natural. Depending on your nursing history, it will take 2-12 months for the tissues to soften and the implants settle. I would suggest you not spend a lot of money on bras until at least 4-6 months postoperative.

Published on Jul 11, 2012


Jed Horowitz, M.D., F.A.C.S.

Published on May 17, 2016

Your muscle and skin will stretch with time and change over three months.

It's important to know what size bra you currently wear. Is it a 32, 34, 36 bra? And, of course, the cup size. The strap size is important to know because that affects the diameter of the cup and subsequently the diameter of the breast implant that we choose. We also need to know your height, your weight, and it's helpful to know your dress size as well.

In addition, it would be very helpful if you include photos of yourself--a front view, a side view, and a three-quarter view are most helpful. This will let us see if there are any breast asymmetries, if the breasts are narrow, if the breasts are wide, what your chest wall looks like, and this will also help us make a decision as to the best size breast implant for you.

In my experience, in general, if a woman wears a size 36 AB bra and would like to be a C cup--which is the average size that women wear and the average size bra that is sold--she needs a volume of approximately 350 to 390cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350cc. In the same way, if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup, she would only require about 250 to 300cc.

This is a general number and, of course, there are other factors that will affect this. For example, if she has a chest wall issue where the chest is slightly sunken--this is called a pectus deformity--then she would require a little bit more volume to first bring her chest to a level position and then move forward to the projection of a C cup. This may require implants of about 50cc more. It's important to examine the patient and have complete information to make this decision.

Breast implant size:

1. 32a to 32c needs about 250-275 cc
2. 34a to 34c needs about 300-350 cc
3. 36a to 36c needs about 350-400 cc

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Answered by Jed Horowitz, M.D., F.A.C.S.

Your muscle and skin will stretch with time and change over three months.

It's important to know what size bra you currently wear. Is it a 32, 34, 36 bra? And, of course, the cup size. The strap size is important to know because that affects the diameter of the cup and subsequently the diameter of the breast implant that we choose. We also need to know your height, your weight, and it's helpful to know your dress size as well.

In addition, it would be very helpful if you include photos of yourself--a front view, a side view, and a three-quarter view are most helpful. This will let us see if there are any breast asymmetries, if the breasts are narrow, if the breasts are wide, what your chest wall looks like, and this will also help us make a decision as to the best size breast implant for you.

In my experience, in general, if a woman wears a size 36 AB bra and would like to be a C cup--which is the average size that women wear and the average size bra that is sold--she needs a volume of approximately 350 to 390cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350cc. In the same way, if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup, she would only require about 250 to 300cc.

This is a general number and, of course, there are other factors that will affect this. For example, if she has a chest wall issue where the chest is slightly sunken--this is called a pectus deformity--then she would require a little bit more volume to first bring her chest to a level position and then move forward to the projection of a C cup. This may require implants of about 50cc more. It's important to examine the patient and have complete information to make this decision.

Breast implant size:

1. 32a to 32c needs about 250-275 cc
2. 34a to 34c needs about 300-350 cc
3. 36a to 36c needs about 350-400 cc

Published on Jul 11, 2012


Bigger? Those are huge! And huge isn't a matter of taste; it is a matter of gravity and stretch of your skin. The bigger they are, the faster they will fall.

no implants = no problems
small implants = small problems
big implants = big problems

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

Bigger? Those are huge! And huge isn't a matter of taste; it is a matter of gravity and stretch of your skin. The bigger they are, the faster they will fall.

no implants = no problems
small implants = small problems
big implants = big problems

Published on Jul 11, 2012


Thank you for your question. Don't be discouraged; it is still early in the healing process and your breasts will continue to look better with time. If you want your breasts to look more natural, then wear a loose fitting bra or no bra to allow your breast to drop more. I wouldn't make a decision about size until you are completely healed (about 6 months). That size implant most likely be a full D or DD, depending on the amount of breast tissue you started with and the type of bra you wear. Take care.

Answered by Charles A. Messa, III, M.D., F.A.C.S. (View Profile)

Thank you for your question. Don't be discouraged; it is still early in the healing process and your breasts will continue to look better with time. If you want your breasts to look more natural, then wear a loose fitting bra or no bra to allow your breast to drop more. I wouldn't make a decision about size until you are completely healed (about 6 months). That size implant most likely be a full D or DD, depending on the amount of breast tissue you started with and the type of bra you wear. Take care.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on May 05, 2016

Congratulations on having undergone the breast augmentation procedure. It is much too early to evaluate the outcome of the procedure performed. This is best done many months from now. At this point, I would suggest: rest, recovery, and patience. Best wishes.

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

Congratulations on having undergone the breast augmentation procedure. It is much too early to evaluate the outcome of the procedure performed. This is best done many months from now. At this point, I would suggest: rest, recovery, and patience. Best wishes.

Published on Jul 11, 2012


Mark E. Mason, MD, FACS

Published on May 04, 2016

Give yourself at least 6 weeks to heal. The implants will drop down in the pocket and pop forward in time. 560cc is a nice size implant. It's hard to say what your bra size will be, and it will inevitably be different in various department stores. Focus on the appearance and not on the number or letter in your bra. In a couple of months, if the shape hasn't changed and your breasts aren't soft, be sure to follow up with your surgeon to ensure they are healing in the pocket properly. They should look more natural in about 3-6 months. Good luck!

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Answered by Mark E. Mason, MD, FACS

Give yourself at least 6 weeks to heal. The implants will drop down in the pocket and pop forward in time. 560cc is a nice size implant. It's hard to say what your bra size will be, and it will inevitably be different in various department stores. Focus on the appearance and not on the number or letter in your bra. In a couple of months, if the shape hasn't changed and your breasts aren't soft, be sure to follow up with your surgeon to ensure they are healing in the pocket properly. They should look more natural in about 3-6 months. Good luck!

Published on Jul 11, 2012


Sean Kelishadi, M.D.

Published on May 03, 2016

Hi! Congratulations on undergoing breast augmentation. Be patient and give your implants time to drop and fluff. A 560cc Inspira SRF implant is not small and should help get you to the size you desire. If you still feel that you are too small after 3 months, you could then pursue revision, but I doubt that will be the case. The hardest part is being patient as they drop and fluff.

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Answered by Sean Kelishadi, M.D.

Hi! Congratulations on undergoing breast augmentation. Be patient and give your implants time to drop and fluff. A 560cc Inspira SRF implant is not small and should help get you to the size you desire. If you still feel that you are too small after 3 months, you could then pursue revision, but I doubt that will be the case. The hardest part is being patient as they drop and fluff.

Published on Jul 11, 2012


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

Published on May 02, 2016

Unfortunately, there is no formula to equate implant volume with bra cup sizes, and this should have been told to you beforehand. It is still very early in your recovery, and how they look in shape and size will change over the next few months. This is known as "drop and fluff." Best of luck!

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

Unfortunately, there is no formula to equate implant volume with bra cup sizes, and this should have been told to you beforehand. It is still very early in your recovery, and how they look in shape and size will change over the next few months. This is known as "drop and fluff." Best of luck!

Published on Jul 11, 2012


Kathleen Waldorf M.D, FACS

Published on May 02, 2016

The best thing to do is to go back to your original plastic surgeon and have him review your pre-surgery anatomy and your current results. Many factors play a role in a patient's outcome, and sometimes this can affect the overall results. The options that are right for you can vary from patient to patient, and each surgeon is happy to discuss this with all of their patients. Best of luck!

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6324_1431012455.jpg
Answered by Kathleen Waldorf M.D, FACS

The best thing to do is to go back to your original plastic surgeon and have him review your pre-surgery anatomy and your current results. Many factors play a role in a patient's outcome, and sometimes this can affect the overall results. The options that are right for you can vary from patient to patient, and each surgeon is happy to discuss this with all of their patients. Best of luck!

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on May 02, 2016

Unfortunately, you will continue to lose volume over the next year! Not going big enough appears to be the problem with many plastic surgeons and their patients. There should be better communication with your PS.

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Answered by Edward Domanskis M.D.

Unfortunately, you will continue to lose volume over the next year! Not going big enough appears to be the problem with many plastic surgeons and their patients. There should be better communication with your PS.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on May 02, 2016

It is very early in the wound healing process. Things will improve over time. Wait for three months to get any new garments.

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Answered by Kenneth L. Stein M.D. FACS

It is very early in the wound healing process. Things will improve over time. Wait for three months to get any new garments.

Published on Jul 11, 2012


Andrew Trussler MD, FACS

Published on May 02, 2016

Breast implants placed under the muscle will look high and somewhat compressed initially. As soon as the muscle relaxes, the implants will drop and the breasts will soften. Not until that point can volume and shape be determined, and the larger the implant the longer they take to settle.

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Answered by Andrew Trussler MD, FACS

Breast implants placed under the muscle will look high and somewhat compressed initially. As soon as the muscle relaxes, the implants will drop and the breasts will soften. Not until that point can volume and shape be determined, and the larger the implant the longer they take to settle.

Published on Jul 11, 2012


Robert J. Brueck MD, FACS

Published on May 02, 2016

You are plenty big. Patients forget that at the end of the operation the surgeon has to be able to close the incision. It is not like you can put an unlimited size into a chest; you can't put a gallon of milk in a quart container.

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Answered by Robert J. Brueck MD, FACS

You are plenty big. Patients forget that at the end of the operation the surgeon has to be able to close the incision. It is not like you can put an unlimited size into a chest; you can't put a gallon of milk in a quart container.

Published on Jul 11, 2012


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