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I am 4' 11" tall and weigh 107 lb. I am a 34 B. I am am considering breast...

Q:

I am 4' 11" tall and weigh 107 lb. I am a 34 B. I am am considering breast augmentation and was thinking of getting 325 cc. Do you think that would be proportionate to my body? What size do you suggest?

A:

Implant size is dependent on your body measurement and breast measurements. Your Board Certified Plastic Surgeon will make all these measurements and discuss your desires. Then your body will tolerate a certain set of implants that your plasic surgeon will advise.

A:

Choosing the number of cc of breast implant size is the most common question about Breast Augmentation. Of course an in person consultation with a board certified plastic surgeon is required. However there are several helpful guidelines for patients considering Breast Augmentation.

  • The Rice test may be done in the privacy of your own home.  The Rice test involves placing plastic sandwich bags filled with rice into a non-padded bra to evaluate how you will look with various cc of breast implants.  Once you achieve the look that you want you may convert the amount of Rice to cc to give you an estimate of the volume that you will require.  The table to convert ounces of Rice to cc is as follows:
  1. 1 cup = 236cc
  2. 1/2 cup = 118cc
  3. 3/4 cup = 177cc
  4. 2/3 cup = 156cc
  5. 1/3 cup = 78cc
  6. 1/4 cup = 59cc
  7. 1/8 cup = 30cc

 

 

  • CC per cup size- It is very important to understand that bra cup size is a very inconsistent and unreliable method to choose your breast implants.  This is because different manufacturers and different retailers label cup size differently.  A C cup bra in one store can be labeled a D cup bra and a different store.  That said a very rough and anecdotal rough estimate is that to increase your cup size based on the bra you currently wear can take 150 cc to 200 cc to enlarge that cup by 1 cup size.  Thus to go from your current A cup bra to a B cup bra should require a 200-250 cc implant but to go to a C cup could require 350-400 cc.  However this is a very rough estimate.

A:

  1. When deciding about the best implant size, it's very important to keep in mind what size of gland you have now and what size of breast you aspire to after the procedure. The last 2 questions are the hardest to answer, however, there are ways to go around it such as the rice test despite its relative inaccuracy. I would suggest to start by consulting with a surgeon with good experience in those cases and who is and ASAPS or ISAPS member and things should start to get clearer from there.

 

Best,

Shady Hayek, M.D.

Beirut, Lebanon

A:

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

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