American Society of Plastic Surgeons
For Medical Professionals
 
shaynaboo
6 months ago
Answered

Breast Lift & Augmentation

If I am currently a 36C and am getting a breast lift and augmentation and want to be a full 36D, is 375cc too much? I am 5’4 and weigh 139 lbs.

Procedure: Breast Lift
Type: Question

Replies 5

Debra Johnson
ASPS Surgeon
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For a 36 size bra, you're around 175-200cc/cup size. So 375 is around a 2 cup size increase. If you are a small C, then it might work, but if you're a full C, that volume may be a bit over the top.

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Daniel Allan
ASPS Surgeon

You don't say anything about your body build, but 375cc is too much.

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Nelson Castillo

Thank you for sharing your question. For most patients a 375 will add around two cup sizes so it may be a bit much for your frame. That said, it depends on an in-person examination of your tissues to assess skin and natural breast tissue rations.

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Benjamin Van Raalte
ASPS Surgeon
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Usually each 200 cc is one additional cup size for an average woman. In most women 375 cc would add two cup sizes. But remember there are no standard bra sizes. Victoria Secret C is really a smaller B in Walmart bras.

There are also other options. If you are doing a full lift and have bra roll fat that can be used to auto augment with an extended mastopexy adding one half to one cup size without an implant. Use of dissolvable mesh can create a fuller breast. Augmentation mammaplasties are one of the highest risk operations. A periareolar lift with an implant though, is not as high risk. A full mastopexy with a larger implant has a high revision rate and increased complications and many surgeons stage their full lifts if the patient wants to go larger. I find many patients want a different size after the mastopexy has healed and often do two stages when a full lift is needed for better results with less complications.

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Michelle Copeland
ASPS Surgeon
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To help decide what size implant to use I tell my implant patients to shop for a bra that they want to be able to fill out when the surgery is over. To make sure it’s the right size, I tell them to stuff it with socks, hose, or whatever, and to walk around like that for a day, spending plenty of time in front of a mirror. Then I have them bring in the bra, which I sterilize, and at the end of the surgery we try it on. If it fits, then I know we have achieved the right size.

In short, you must know -- realistically -- what you are starting with, as well as what you want to look like when surgery is done. Do you want a natural appearance or a round, perky look? These are some of the factors I weigh with my patients when evaluating what type of procedure to do. I suggest making an appointment with a board certified plastic surgeon for consultation to discuss your options

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