Let’s (NOT) Talk Bra Cup Sizes

When considering breast enhancement surgery, it is natural to think in cup sizes. For instance, you might wear a B cup now, and want to go to a C cup. While that is useful information to share with your surgeon at your consultation, it’s important to realize that it is just a guideline and that implants don’t come in cup sizes. Breast implants are sized according to their volume in cubic centimeters (cc).

One of the first things to consider is that all “C”s are not created equal. A 32C is significantly smaller in volume than a 38C. Then there is variation in cup size by the manufacturer—a Bali 32C may be bigger or smaller than a Victoria’s Secret 32C. There is even variation in cup size with different type bras by the same manufacturer.

A 32C demi bra by Victoria’s Secret may fit, while a 32C pushup may not. So, while it’s useful to have an idea of the cup size you want, remember that there is no standardization of cup sizes.

Below is a photo of four C cup bras by the same manufacturer:

A group of bras

Now take a look at this chart designed to help you figure out your proper bra size:

Bra size chart

First, you measure around your chest, then measure around the breasts where they project the most. The difference gives you the cup size. It seems a bit confusing, right?

Now take a look at this chart:

Bra size chart

This chart gives an idea of what volume in ccs each cup size represents. The hard part comes when the patient is thinking in B, C, D, and the surgeon is thinking in ccs.

What has worked in my practice is to first talk to the patient and listen to what they want, look at pictures of what they might want to look like, and then actually try on some implants. An implant is placed into each cup of the bra, then with a tee shirt on, we get an idea if we’re in the right ballpark. We go up or down in size as needed. Often, the patient will turn to me at this point and say, “So, this is a C?” In response, I tell them if they like the way it looks in the mirror, that’s the one we use, and then find out what cup size it is when they go bra shopping after surgery.

We are usually fairly accurate in getting the size right in terms of patient satisfaction, and having done this for 20 years, I have a very good idea of what volume will make a patient a desired cup size. In the end, as long as the patient is happy with the result, and the size; then the letter, or cup size, really doesn’t matter. It’s just a guideline.

If you’re considering breast augmentation surgery, take the first step by scheduling your consultation today.

Time to Start Thinking About Summer

It’s hard to start thinking about summer and bathing suits already, but if you want to be ready, now is the time to start planning and doing.If you’re considering finally taking that leap and getting that mommy makeover or breast implants, then you have to consider how long the plastic surgery process will take from consultation to surgery, recovery, and time until the final results are evident. Assuming you want to be ready for the summer, here is a sort of timeline of procedures to get you bikini ready.


A woman in a bathing suit and sunglasses at the beach

Liposuction is one of the most popular cosmetic procedures. There is little downtime, little risk, and lots of reward, but the results are not instantaneous. When liposuction is performed, the tissues are infused with a lot of fluid. This helps with bruising, blood loss, and general contour. However, the tissues swell from the fluid and from the procedure itself. A day or two after liposuction you may look great; then you will probably swell. It’s usually not so much that you look larger than you did before but rather hard to tell that you had anything done. At six weeks you may start to notice your clothes fitting differently and start noticing changes in your appearance. It generally takes at least three months before you see the final results. So, liposuction should be done at least three to four months from the time you need to be recovered.

Tummy Tuck

Abdominoplasty, or a tummy tuck, is another procedure that has a rather short initial recovery but rather long period until you see the final results. Usually, patients are out of work (desk jobs) for two weeks. There is a period of two to three months where the abdominal tissue will swell a bit at the end of the day. Spanx or other compression garments can conceal this, but who wants to wear Spanx at the beach? The other consideration is the recovery from the muscle repair; with most tummy tucks this is six to eight weeks with no heavy core activity. So, water skiing, jet skiing, etc., might be difficult even if you look fabulous. Summer timeline for tummy tucks: March to May.

Breast Augmentation

Breast augmentation is the most flexible plastic surgery procedures on the summer timeline. Usually, a weekend recovery, or at most one to two weeks, is all that’s required. So, this can be done a week or two before vacation. If traveling a long distance, its always good to leave adequate time for recovery and healing. Other breast procedures, such as lifts and reductions, are also rather short in recovery time, and results are seen fairly soon after surgery, although the scars will take a full year to fully fade/mature. Breast procedures are year round on the summer timeline, as recovery and results can be very quick.

No matter your aesthetic goals for this summer or beyond, the first step is always a consultation at my office. Get in contact today to start this process, and together we can create a personalized timeline to fit your goals.

What You Should Know About Breastfeeding With Breast Implants

If you are considering breast implants, one of the concerns you may have is how the implants will affect your ability to breastfeed. In a nutshell, the answer is not very much.

The Procedure

If you consider how this type of breast augmentation is done, it is easy to understand that the implants shouldn’t affect the actual function of the breast at all. A pocket, which is a space not naturally present, is made either behind the breast, behind the muscle, or some combination of both. This means the natural configuration of the nipple ducts gland is completely intact. Therefore the breasts’ ability to produce milk should be unchanged. Think of it this way, in either the submuscular or subglandular position, the implant is merely pushing or filling the breast out. The implant is behind the breast. It doesn’t sever any connections between nipple and gland and only comes into contact with the back of the breast. The implant simply pushes the breast outward and upward.

The Speculations

The only wrinkle here is that some approaches may be more invasive than others. A periareolar incision may actually necessitate disrupting some breast tissue, and there is the chance that milk production could be decreased. However, this is speculative as there is no real scientific data to support this claim.

Image of Breast Implant - Elizabeth A. Kinsley, MD

Lastly, some patients worry if it is safe to breastfeed with implants in place after breast augmentation. The answer is absolutely, yes. As the above image shows, modern implants are very sturdy and your body makes a natural capsule of scar tissue around the implant. There is no communication between your implant and your breast, and ultimately your milk production goes on unchanged.

Rejuvenate Here, There, Everywhere

Image Of Happy Woman After Vaginal Rejuvenation - Elizabeth A. Kinsley, MDNot too long ago, vaginal rejuvenation was limited to labiaplasty, and not many surgeons offered the procedure. Today, with the advancement of laser technologies and surgical techniques, vaginal rejuvenation has become common in many practices.

So what can be accomplished with vaginal rejuvenation?

  • Surgical correction of elongation of the labia
  • Correction of clitoral holding​
  • Tightening of the external skin or labia​
  • Lightening of the external skin​
  • Tightening of the vaginal canal​
  • Restoration of vaginal mucosa, correction of dryness​
  • Improvement in urinary leakage

Surgical treatment is used on the external tissues. Frequently women experience elongation of the labia after childbirth, and some are born with an uneven or enlarged labia. Correction can often be done in the office under local anesthesia. Downtime lasts a couple of days.

For minimal wrinkling or elongation, the CO2RE Intima Laser can be used to tighten the skin and reduce wrinkling. Internally, the laser affects the mucosa to correct dryness, and works to tighten the vagina. Frequently, improvement is also seen with urinary leakage problems. The procedure is relatively painless, takes about 15 minutes, and is done in office. Three treatments four weeks apart are recommended. There is little to no downtime associated with the procedure.

The bottom line is that there are now simple and effective corrections for problems in a sensitive area that, in the past, a woman would just have to cope with. We are pleased to offer the vConfidence procedure, featuring the CO2RE Intima Laser, to our patients.