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Indecisive About Cup Size
Size is a big decision. It is very important to put appropriate thought into the size you want before your surgery. In our San Francisco Bay Area practice, when patients are not quite sure about the size I will lend them several different sized implants to try for a week or two. If your plastic surgeon can't (or won't!) do this try bags of rice (you can place different amounts of rice in zip-lock bags, when you find the size you want empty the rice into a measuring cup and communicate the volume to your plastic surgeon). The important thing here is you really need to try to wear the "trial size" implants as much as possible. This means try them with different clothes, (swimsuits, professional wear, casual wear, formal wear) but it also means while driving, while working out, while sleeping. It isn't a perfect way to see what the implants will be like, but it is pretty close. The real key is finding a plastic surgeon that will take the time to work with you to find what works for you. Start with a board-certified plastic surgeon.
Clinical Context
Surgeons typically plan implant size using measurements, not cup letters, since a 'C cup' means different things depending on chest width and bra brand. Key factors include your chest wall width at the fold (implants wider than this can look unnatural), how much projection suits your tissue, and how well your skin can stretch safely. Volume is chosen once those factors are set. This is why trying different sizes in a bra, rather than picking a cup letter, usually gives a better sense of your final result.
