Breast implant sizes is arguably the most important decision for patients that are navigating their breast augmentation surgery journey. Implant size has an undeniable impact on overall breast aesthetics, and women are often caught between the desire for a “natural breast augmentation” look, that leaves people guessing, and the desire for great cleavage and upper-pole fullness. There is often an internal battle for patients as they hear other women’s tales of “boob greed” and recommendations to “always go bigger”. On top of it all is the endless stream of patient images on social media, throwing out hundreds of different size and profile combinations at followers each day. With so many resources to access, and so many choices available, it can be extremely confusing for women that need to make their decision.

This blog post aims to outline some of the key aspects of implant sizing. Let’s figure out what it means, how it works, and the dos and don’ts of decision-making. 

What are CCs? 

Often when patients are beginning their research into breast augmentation, one of the first terms they will come across is “implant CCs”. This term isn’t immediately recognisable, and can be misinterpreted. Implant CCs are a unit of measurement used to calculate the volume of gel within a breast implant. The term refers to cubic centimetres, where 1cc of silicone is equivalent to approximately 1 gram. As to be expected, higher CCs equate to larger implant volumes. As a point of reference, many surgeons suggest that around 125-175cc is equivalent to a cup size, however this can be very misleading. CCs and cup size are not comparable. This is due to the huge variability in cup sizes between bra brands. In contrast, implant CCs are exact. The most important thing to understand about CCs is that they are their own unit of measurement. 

How do we determine what breast implant sizes are best for me? 

Determining what implant size is for you is a strategic mix of many variables. In the pre-operative consultation phase we can consider implant sizers, Vectra 3D imaging, and consultation with your fully-qualified plastic surgeon as key touch-points contributing to your decision-making. 

Breast Implant Sizes with Sizers

Implant sizers are a helpful resource for patients. They help us get a better idea of the look and feel of the different implant CCs. Implant sizes are like silicone “chicken fillets”.  They’re inserted into an unpadded sports bra at your consultation so you can view implant size against your proportions. This helps get a better feel of how certain breast implant sizes fit with your body. Implant sizers can be helpful in providing guidance with sizing, however it is important to note that your final results will feel somewhat smaller than the sizers due to the placement of the implants in a subglandular or sub muscular positioning. 

Vectra 3D Imaging

Vectra 3D imaging is a useful tool for patients to visualise their breast augmentation results and decide between breast implant sizes. 3D imaging is most suitable for patients with little-to-no existing breast tissue. This is because the imaging is most accurate on these patients. The general consensus among patients is that the Vectra 3D imaging tends to underestimate size and cleavage. The technology is helpful for patients that are weighing up between different sizes or simply would like some peace of mind with their decision. 

Discussion with Plastic Surgeon 

While implant sizers and 3D imaging technology can assist in the decision-making process, the most important aspect of choosing the right size is undeniably listening to the advice of your fully-qualified plastic surgeon. Dr. Richardson from Brisbane Plastic & Cosmetic Surgery has over 17 years experience as a practising plastic surgeon, and an additional 12 years specialist training. Dr. Richardson is an expert when it comes to implant sizing. He considers the strategic mix of breast and chest measurements, existing breast tissue examination, asymmetry, and more. Dr. Richardson will discuss the pros and cons of each implant gel, shape, and profile. This will subsequently influence the final decision regarding implant CCs. You will be able to discuss any concerns or questions you might have during your consultation.

The best way to communicate to your surgeon what look you’re after is to bring in photos of results you like, and a few before and afters you feel are similar to you. This is an excellent opportunity for your surgeon to point out anatomical features you might not have noticed before. It’s also a great opportunity to figure out how realistic your expectations are. One of the big don’ts when it comes to choosing implant sizes however is to think in terms of bra size. 

Avoiding the Cup Size Conversation 

A common pitfall of patients who are entering their breast augmentation journey is getting hung up on a particular cup size. It’s important for patients to understand that certain breast implant sizes can guarantee a particular cup size. Firstly, sizing changes drastically between different lingerie brands. There is no standardised sizing measure that can ensure both patient and practitioner are on the same page. Secondly, the appearance of what some call a “C cup” is—in reality—often a lot larger than a C cup. The best way to communicate proper expectations is to use photos for inspiration. You should also be clear about proportions to your body and your priorities with shape and size. 

Avoiding Comparisons

While photos are a great way to communicate expectations, it’s equally important to not fall into the trap of comparisons. We have discussed the issue of comparisons several times before on the blog, and the facts still stand. For example, a 330cc, high profile implant can look incredibly natural, subtle, and “small” on one patient. The exact same implant can appear extremely enhanced with significant upper-pole fullness on another patient. The following images illustrate this point. All patients are patients of Dr. Richardson. 

The Verdict

When it comes to understanding implant CCs there are a few key points that can be taken from this blog article. Implant CCs are a unit of measurement representing the volume of a breast implant. They are entirely subjective to each patent. We can see this in patients that have the same implant type with entirely different outcomes. There are a number of measure patients can take to make the most informed decision including Vectra 3D imaging, and implant sizers, however the most important touchpoint for any patient choosing sizes is discussion with a fully qualified plastic surgeon, such as Dr. Richardson from Brisbane Plastic & Cosmetic Surgery. 

If you have any questions regarding the content outlined in this blog, or would like to make an appointment for a consultation with Dr. Richardson, contact us today.