No. That size implant will bring you up about two cup sizes.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
Newport Beach, San Francisco,Miami, Italy, Anguilla
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

Cup size is a function of your chest circumference. If you are 32" or 34" around, then a cup size is about 100 cc. So if your implant is 240-280 cc that means it adds almost 2.5 cup sizes to your current size. If you are currently an A-cup, then you'll be a full C- or D-cup. If you are currently a B-cup, then you'll be full D-cup.

Published on Jul 11, 2012

To answer your question about 240-280 cc, you need to take into account what's known as your base width diameter.

Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range.

280 cc on a woman with a BWD of 10 cm is very different than 280 cc for a woman with a BWD of 15 cm. On one it may be enough volume, but for the other it may be much less than the maximum she can safely go.

Regarding sagging, whether you have implants or not, aging, pregnancy and breastfeeding will do things to your body. When you’re pregnant, your body releases more hormones. You’ll gain weight. Your skin will be stretched by the pregnancy weight and lose some elasticity. And after childbirth and breastfeeding, your breast will deflate and your skin will be looser.

Now, there are two major unpredictable factors surrounding these changes I just mentioned. First, the DEGREE that these changes will occur is unpredictable. We don't know and can't know ahead of time, how much your breasts will deflate or how much looser your skin will become. And second, it is unpredictable whether these changes will warrant a procedure. Maybe the deflation will be mild and not warrant a breast lift. So given these two unknowns, it is impossible to predict whether how much you will sag. But note that If you already have a breast augmentation, the implants will not affect those factors.

I hope that answers your question the 280 cc volume and sagging. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant”.

So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Learn more: http://drwilliamrahal.com/

Published on Jul 11, 2012

Thank you for your question.
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 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,

For example, I have found that the use of words such as “natural” or "full C 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.

I hope this helps. Best wishes.

Tom Pousti MD
www.PoustiPlasticSurgery.com
619-466-8851

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.

With regards to your specific question, it is difficult to predict cup size due to variability. Patients with very little native breast tissue may need to stage their augmentation if they are seeking a significant upsize. This is accomplished by a more modest initial augmentation followed by an exchange for a more significant volume once some stretch has occurred.

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

Published on Jul 11, 2012