When it comes to breasts in America, the popular aesthetic seems to be “bigger is better,” though the trend seems to be shifting toward a more natural look in the last year or so.

As a plastic surgeon in San Francisco who performs thousands of breast augmentation surgeries, it recently occurred to me that no one asks me about the smallest implant available.

I guess I shouldn’t be too surprised because who would want to go through the time, expense, and recovery of breast augmentation surgery just to look relatively unchanged?

But in case you were wondering, there is a small breast implant available. In fact, it’s downright small.

The smallest breast implant available in the United States is 80 cc. That’s roughly the size you were when you bought your first training bra.

Does the smaller implant make a difference in cup size?

No, probably not. In general, 100cc of breast implant volume will increase breast size by one cup. So an 80cc implant would convert a natural B cup to a B+ or full B. I have yet to meet the patient who wants to wear the same size bra after surgery.

Is the smallest breast implant made of saline or silicone?

Saline implants are inserted into a patient’s breasts as empty shells and then filled with saline to the desired size. Therefore, the smallest 80 cc implant is made of silicone.

Who makes the smallest breast implant?

In the United States, only two companies are allowed to sell cosmetic breast implants: Allergan and Mentor. Allergan makes the 80cc silicone breast implant and Mentor’s smaller implant is a 100cc silicone implant.

What is an 80 cc breast implant used for?

Well that’s a good question. Basically, the smaller implant is not used often. Even in parts of the world like Asia, where women prefer smaller cup sizes, an 80cc implant may not work.

The original purpose of breast implants was for reconstruction after breast cancer. After a total breast extraction, the average woman would need an implant much larger than 80cc to achieve a small cup size. For size C or D breasts, several hundred cc would be required.

And no, the 80 cc is also not used to liking a layer cake on top of larger breast implants. While some fringe doctors in other countries may place one implant on top of another for patients hoping to achieve massive HH or MM breasts, the standard and accepted method of breast augmentation in the United States only allows one implant within each breast.

I guess there’s a little implant in the same realm as a quirky little square of dark chocolate. Sure, it’s available for sale, but who’s buying it? Most people want more.

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