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A Breast Augmentation Puzzle: Cup Size vs. Implant Size

By: Sara Goldstein


Posted Thursday, June 28, 2007



Breast augmentation has become a highly popular cosmetic body enhancement these days. According to the American Society of Plastic Surgeons (ASPS), it was the third most popular of all cosmetic procedures in 2005, being done for 291,000 women. (The first and second procedures on the popularity list were liposuction and nose reshaping, respectively.)

If you have ever considered having this procedure, you probably wondered just how much bigger you'd like your breasts to be, and perhaps looked at some websites with before and after photos, to see what sort of results people seem to be getting. You may have recognized yourself in some of those before photos and wondered if you would have chosen the size depicted in the after photo.

One of the pieces of information that is not readily available about breast implants is how to decide on an implant size. This tends to be discussed in a confidential consultation between surgeon and patient. There are no standard rules to follow in this decision, as it comes down to the woman's preference on the one hand, and the surgeon's recommendations based on his medical and breast augmentation knowledge, on the other.

Two different sizing systems

We all know how cup sizes are named, as it's part of how bras are labeled. They range from AA to K, referring to the cup size (with the number, ranging from 32 to 56, referring to the chest circumference).

Breast implants are not sized with this letter system. To achieve a given size goal, you need the right size implant to make up the difference between your natural endowment and your goal. Implants are filled with either saline solution or silicone gel, measured in cubic centimeters.

You may know what cup size you'd like to be, but how to choose an implant size that will give you that cup size or that look?

Your consultation

Your cosmetic surgeon may not think or talk in cup sizes at all, but in cubic centimeters. A good idea is to find a photo to show your surgeon, as he can then translate that look and your anatomy into an implant size.

During your consultation, he will probably give you some implants of differering sizes and have you try them on, so to speak, by wearing them in a sports bra. In that situation you'll be getting lots of feedback and suggestions.

The implant size you eventually choose will be partly influenced by some decisions you'll be making about your implant procedure, such as:

Dr. Howard Rosenberg in the San Francisco and South Bay area in California takes a very individualized approach to breast augmentation.

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He sees his cosmetic surgeon role as one of helping you to attain your personal goals. A person attaining their personal goals is generally a happy person, and he sees this in his patients, that the physical enhancement translates into internal enhancement as well. So choose your cosmetic surgeon carefully, and then listen to his recommendations as to implant size.

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