Breast Implants and Size: Making the Right Choice by Dr. Wigoda


The reason why a vast majority of women (and men) have breast augmentation is SIZE, says Fort Lauderdale plastic surgeon Dr. Paul Wigoda.

We want to increase our size and/or have our breasts more proportionate to the rest of our bodies. Some women worry about going too big, while others worry about not going big enough. Having realistic expectations regarding size is imperative. Here are some ways you can figure out what size is right for you.

A Picture’s Worth 1,000 Words

When consulting with a plastic surgeon, it helps to bring pictures depicting how you want to look after surgery. Also, bring photos of what you consider too small or too large as this will help your surgeon immensely. Celebrity magazines are a great resource for photos of women with various size breasts. Keep in mind that everyone’s anatomy is different, so you will not look exactly like the photos you show your surgeon; however, these photos will give the surgeon a very good idea of the SIZE you want to be. You may have a good idea of what cup size you would like but photos can further inform your surgeon of your desired results.

Dr. Wigoda Talks About The Rice Test

Surgeons generally do not talk in “cup” sizes they talk in cc’s. So “trying on for size” in cc’s prior to your plastic surgery consultation is a very good idea. And, it’s fun! If you’re very flat-chested, almost anything may seem big but you’ll be amazed at how quickly you adjust to your new, larger size. The Rice Test will give you an idea of what you’ll like to look like after your surgery, as well as a rough idea of how many cc’s it may take get that result. It’s not 100% accurate, but it’s pretty close.

How to Perform the Rice Test

Use knee-high hose or cut-off pantyhose, and, using rice (or oatmeal or grits), fill them with the desired amount of cc’s. Once you have them filled, try them on under a sports bra.  Here are some conversions below:

  • 1 cup = 236cc
  • 3/4 cup = 177cc
  • 2/3 cup = 156cc
  • 1/2 cup = 118cc
  • 1/3 cup = 78cc
  • 1/4 cup = 59cc
  • 1/8 cup = 30cc

Some guidelines: An average of 189 cc is needed to go up one bra cup size. Increasing an A cup to a C cup generally requires a total of 391 cc, or 196 cc per cup. Moving from a B cup to a D cup generally requires a total of 448 cc, or 224 cc per cup. The largest change, an A cup increasing to a D cup, generally requires 437cc, or 145 cc per cup.

The amounts above can be used in different combinations to achieve the cc amount you desire. It’s important to remember that you should not solely rely on cc amounts of friends whose size you like. 400cc can look completely different on different women. This is due to several things, including, but not limited to: amount of breast tissue, shape of the chest wall, deformities of the chest wall (such as pectus excavatum and pectus carinatum), and weight, just to name a few. Basically, your existing breast tissue, and anatomy dictate how many cc’s you will need. Therefore, you should do the rice test to give you an idea of how many cc’s you may need to get the size you want. Keep in mind the “rice test” is just an estimate, it is not an exact science!

Now that you have a good idea of what size implants you think you want and some photos to share you are better prepared for a consultation with Dr. Wigoda. Dr. Wigoda offers free consultations at his  Fort Lauderdale-based plastic surgery center. Call us at 954.463.7088 to schedule your visit!

See our next blog post in this series: What’s Your Breast Implant Profile: Low, Moderate or High?



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