For those who decide to have breast augmentation, fears often include the fear of being “too big” or “too small.”  Fortunately, breast augmentation surgery is a process. You have multiple factors to weigh before your procedure takes place. Among these factors is choosing the best implant size for your body and your expectations. Most of Zenn Plastic Surgery’s breast surgery patients have a preconceived notion of their ideal breast size. But this is a long-term decision you should fully consider with your plastic surgeon’s advice.

Some of the most important factors in your breast expansion decision-making include:

Body measurements Body shape and frame Age Lifestyle Personality

For many women, breast size is directly tied to self-esteem. How you see yourself affects your relationships, physical wellness, career, and socialization. This is why the selection of implant size is so important and why we work hard to understand all of our patients’ concerns and have exhausted all questions and doubts to achieve the best possible decisions on implant size before the day of surgery. At Zenn Plastic Surgery, we are successful when your breast augmentation surgery goes well and you are happy with your result.  Our goal is your enhanced self-confidence that will impact all areas of your life.

Important Considerations for Your Breast Augmentation Size Choice

Below are some of the most important factors that should guide your decisions about the best implant size. Feel free to talk to Dr. Zenn about these considerations to make your best-informed selection.

Body Measurements

Instead of bra cup sizes like A, B, C, D, and DD, your plastic surgeon sizes your breast implants according to cubic centimeters, commonly called “cc’s.” While the average breast augmentation implant is 300cc, the actual cup size produced by 300ccs varies according to your body frame, existing breast tissue, and your body shape.  The same 300cc implant can make one woman a DD cup and another a B cup, so don’t get caught up in numbers or pictures on the internet.

To help you visualize your post-surgical results, you can try various implant sizes in a specially-designed bra as part of your Zenn Plastic Surgery consultation in Raleigh. This gives you the best chance to see and feel how the added volume in the breast will look on you.  And this avoids the “too big” and “too small” problem.  And, if you think about it, gives you the size you want.  Too many patients who are disappointed by their final size had their surgeon decide for them based on their desired cup size – and there is too much variability in cup sizes and body sizes for a surgeon to really know what is in your mind.

It is also a very important part of the process that you understand how much volume your body can actually accommodate when choosing your breast implant. Not everyone can literally fit some large sizes in their existing breast, leaving unnaturally high implants or implants that sit way to the sides of the chest, leaving a large gap between the breasts. In determining a natural-looking fit and even your maximum size, Dr. Zenn examines your natural breasts and chest. He also considers your body type and makes exact measurements. This examination and these measurements will give you a range of smallest to largest implants that fit your body.  And within this range are B cups, C cups, and D cups.  But you decide based on how you look with implants in your clothes before any surgery.

Body Shape and Frame

It is important to remember that large breasts are heavy, whether the volume is natural or augmented. As a result, you can expect a large breast augmentation to take a physical toll. Large breast augmentation is best suited for women with large frames and heavy chests. While this can give the size desired in clothes, it is important to bear in mind like people with naturally large breasts, you can suffer shoulder pain, back pain, and fatigue over time with the wrong choice.

Your body type and frame also help to decide the projection of your implant, whether “ultra-high” profile, “high” profile, “moderate profile” or “low profile.” These names are just that and are more of a marketing gimmick.  Dr. Zenn will look at the implant’s projection measurements and find the best match for your particular needs.


Your lifestyle, whether active or sedentary, can also affect decision-making in choosing the best implant size for breast augmentation. Women who are active, athletic, or employed in physically strenuous career fields typically request smaller final cup sizes to maintain their active lifestyles. This is because larger breasts hinder movement the most and can cause discomfort when running, lifting, working, or playing sports.

Besides your lifestyle, think about the type of clothing you enjoy wearing. Will these styles work after breast augmentation if you choose a large implant? How much cleavage are you looking for and how high on your chest would you like your breasts to project?  Everyone has their own opinion and postoperative photos of similar patients can help make the decision.  You should consider how your new size will work for shirts, swimsuit tops, dresses, and bras.


Your breast size can change how others react to you. While we would all like to think that increased attention is positive, you should weigh how you will feel in these circumstances. If you are a reserved person, extra attention may feel intrusive. For such a person, consider a more subtle increase for breast augmentation that provides natural-looking results.  And Dr. Zenn will help guide you in your choice.

Your Plastic Surgeon Helps You Make Your Ultimate Choice

You are not alone in having to make this big decision about the best implant size. During your consultation and before your scheduled surgery, Dr. Zenn of Zenn Plastic Surgery helps you make your selection. He does this by discussing your physical appearance goals, lifestyle, and other factors listed above with you.

You should certainly feel welcome to bring inspiration photos showing women with the appearance you hope to achieve. Of course, it is important to remember that your frame and body are unique and may be different than the women in the photos. In these cases,  expecting the same result as in the photos is not realistic. In these circumstances, it helps to select images of women with bodies similar to your own.

Also during your consultation, Dr. Zenn provides information about other implant options. These include the choice of silicone vs. saline, round vs. anatomic shape, and textured vs. smooth. He also discusses gel cohesivity, projections, implant placement, and other important factors in your decision-making and outcome.

Schedule Your Consultation Visit at Zenn Plastic Surgery Today

Are you ready to start exploring the possibilities for your breast augmentation? Are you also eager to learn the best implant size for you? To gain the information you need for proper decision-making, schedule your consultation with Zenn Plastic Surgery in Raleigh, North Carolina. Call us today at (919) 480-3885.

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