February 24, 2026 | 6 minute read
Breast augmentation is one of the most requested cosmetic procedures in the United States, but one of the biggest decisions patients face is not simply whether to have surgery — it is what size implants to choose.
Selecting the right implant size is about much more than cup size. It involves your anatomy, body proportions, lifestyle, and aesthetic goals. At Carolina Cosmetic Surgery, Dr. Catherine Loflin takes a personalized, educational approach to help each patient choose a size that looks natural, balanced, and proportionate.
If you are considering breast augmentation in the Charlotte area, this guide will help you understand how implant sizing works and what factors matter most.
Understanding Breast Implant Sizing
One of the most common misconceptions about breast augmentation is that implants are chosen based on bra cup size. In reality, implants are measured in cubic centimeters (ccs), not cup sizes.
Cup sizes vary widely between bra manufacturers and body shapes. A “C cup” on one patient may look very different on another. For this reason, Dr. Loflin focuses on:
- Implant volume (measured in ccs)
- Implant profile (how far the implant projects forward)
- Base diameter (the width of the implant)
- Your chest wall and breast anatomy
Implants typically range from approximately 150 ccs to 600+ ccs, though the appropriate size depends entirely on the individual patient.
Why “Going Bigger” Isn’t Always Better
Many patients arrive with a specific number in mind. While that can be helpful, it is important to understand that larger implants are not always better — and may not be appropriate for your body frame.
Implants that are too large for your anatomy can:
- Increase the risk of visible rippling
- Create an unnatural appearance
- Contribute to premature sagging
- Place unnecessary strain on breast tissue
Dr. Loflin evaluates your existing breast tissue, skin elasticity, and chest dimensions to recommend sizes that are structurally appropriate and aesthetically balanced.
Factors That Influence Implant Size Selection
Choosing the right implant size is a collaborative process. Several factors influence the final recommendation.
Your Body Frame and Chest Width
Your rib cage width and breast base diameter determine how wide an implant can be. Selecting an implant that is too wide can extend beyond your natural breast footprint and compromise results.
Existing Breast Tissue
Patients with more natural breast tissue may achieve a fuller look with a moderate implant size. Those with very little existing tissue may need to consider how implant size will affect projection and softness.
Skin Elasticity
Skin quality plays a significant role. If the skin is tight, there may be limits to how much volume can be safely added without increasing tension.
Lifestyle and Activity Level
Active patients should consider how implant size may affect physical activity. Larger implants may feel heavier and may influence comfort during exercise.
Desired Aesthetic
Some patients prefer subtle enhancement. Others want a more dramatic change. Dr. Loflin’s goal is to ensure that your desired outcome aligns with what is anatomically achievable and sustainable long term.
Implant Profile: Moderate vs. High Projection
The breast implant profile affects how far the breast projects forward rather than how wide it appears.
- Moderate-profile implants offer a more natural slope and balanced projection.
- High-profile implants provide greater forward projection with a narrower base.
Profile selection often goes hand in hand with size selection. During your consultation, Dr. Loflin will explain how projection affects your final result.
Silicone vs. Saline: Does It Affect Size?
Both silicone and saline implants come in a range of sizes. The choice between them typically relates more to feel and aesthetic goals than to size limitations.
- Silicone implants are often chosen for their natural feel.
- Saline implants may allow for minor adjustments during surgery.
The sizing process is similar for both options.
Using Sizers and Imaging During Consultation
One of the most helpful parts of the consultation process is visualization. At Carolina Cosmetic Surgery, patients can use:
- Implant sizers placed inside a bra
- Before-and-after photos of previous patients
- Detailed discussions about proportional balance
Trying on sizers gives you a more realistic sense of how different volumes may look on your body.
It is important to remember that sizers provide an estimate. The final appearance depends on surgical technique, implant placement, and your anatomy.
Thinking Long Term
Breast augmentation is an investment in your appearance and confidence. When selecting implant size, it is important to consider how your results will look not just immediately after surgery, but years down the road.
Implants that are proportionate to your frame are more likely to:
- Age naturally with your body
- Maintain a balanced silhouette
- Reduce strain on skin and tissue
Dr. Loflin prioritizes results that are elegant, natural-looking, and designed for longevity.
Avoiding Common Size Selection Mistakes
Patients sometimes make decisions based on trends, social media images, or a friend’s results. However, what works beautifully on one person may not translate well to another.
Some common pitfalls include:
- Focusing solely on cup size
- Choosing based on someone else’s results
- Selecting the largest possible implant without considering anatomy
- Underestimating the importance of profile and width
A thorough consultation helps prevent these issues and ensures your decision is informed and tailored to you.
How Dr. Loflin Helps You Choose the Right Size
At Carolina Cosmetic Surgery, breast augmentation is never a one-size-fits-all procedure. Dr. Loflin takes time to understand:
- Your goals
- Your body proportions
- Your lifestyle
- Your long-term expectations
She combines surgical expertise with aesthetic judgment to guide you toward a size that enhances your natural shape rather than overpowering it.
Patients often find that after reviewing their options and seeing proportional comparisons, their final choice feels clear and confident.
Schedule Your Breast Augmentation Consultation in Charlotte
Choosing the right size is not about guessing—it is about thoughtful planning, professional expertise, and achieving results that feel like the best version of you. If you are considering breast augmentation and want expert guidance on selecting the right implant size, the first step is a personalized consultation. During your visit, Dr. Loflin will evaluate your anatomy, discuss your goals, review sizing options, and help you make an informed decision that aligns with your vision.
To schedule your consultation with Dr. Loflin, call Carolina Cosmetic Surgery at (704) 594-7717 or complete our online contact form today.
