When most people think about breast augmentation, they picture a cup size—maybe a full C or a small D. But when it comes to actually choosing breast implants, cup size turns out to be one of the least helpful ways to make your decision. What matters more? Implant profile, type, and how it fits your natural shape.

Dr. Robert Kratschmer, board certified plastic surgeon, has guided hundreds of women through this process. His goal is to help you look balanced, feel confident, and get results that match your body—not just a number on a bra tag.

This guide explains what actually happens during a consultation, why the implant you think you want might change, and how to feel confident in your decision.

Why Cup Size Isn’t the Gold Standard

Cup sizes aren’t as standard as you might think. A 34C is not the same as a 36C. Every brand fits differently. And when you’re getting implants, there’s no universal chart that says “this size implant = this cup size.”

That’s why Dr. Robert Kratschmer avoids promising a specific cup size. Instead, he focuses on your chest width, skin elasticity, existing breast tissue, and what will look natural—or dramatic, if that’s your goal.

Understanding Implant Volume

Implants are measured in cc (cubic centimeters), not cup sizes. Most first-time breast augmentation patients choose somewhere between 275cc and 450cc, but that range varies based on body type. A 350cc implant might look full on a petite frame but subtle on someone taller.

Here’s what impacts how that volume looks:

• Your chest width
• The amount of breast tissue you already have
• Whether the implant goes over or under the muscle
• Your height, weight, and body shape

A thorough consultation with Dr. Kratschmer includes measurements of your chest wall and soft tissue to help match your goals with the right volume.

Implant Profile: Why It Matters

Profile refers to how far the implant sticks out from your chest when you’re standing up. It’s not about volume—it’s about projection. You can have two implants that are both 300cc, but one has a wider base and lower profile, while another has a narrow base and high profile.

Low profile = wider, flatter appearance
Moderate profile = balanced, natural look
High profile = more fullness and projection (great for petite frames)
Ultra high profile = most dramatic, narrowest base

Dr. Robert Kratschmer will help you choose a profile that complements your anatomy and matches your desired look. Sometimes a high-profile implant gives you the volume you want without needing to go up in size.

Silicone vs. Saline

This choice affects not only the look, but also the feel of your implants.

Silicone implants are filled with a cohesive gel that mimics natural breast tissue. They’re softer and less likely to wrinkle. Most patients prefer them, especially if they’re going for a more natural appearance.

Saline implants are filled with sterile saltwater after they’re inserted. They tend to be firmer and are more likely to show ripples in thinner patients. However, they’re sometimes a better option for those under 22 or who want adjustability.

Dr. Kratschmer, plastic surgeon in Houston, will go over both types and explain which one suits your body and lifestyle.

Over the Muscle or Under the Muscle?

This decision affects the final shape and how your implants feel over time.

Subglandular (over the muscle) – shorter recovery and can work well for those with plenty of existing breast tissue
Submuscular (under the muscle) – gives a more natural slope, lowers risk of capsular contracture, and hides implant edges better in thin patients

Your anatomy plays a big role here. Dr. Robert Kratschmer will help you understand the pros and cons based on your goals.

Try-On Sessions: What They Really Tell You

During your pre-op appointment, you’ll try on implant sizers in a special bra. It gives you a 3D look at how different volumes and profiles appear on your body. This is often the moment when patients realize that their “dream size” might not look the way they imagined—and that’s okay.

The goal isn’t to walk in and pick a number. The goal is to find a size and shape that makes you feel confident, whether that means subtle enhancement or a bold transformation.

Why You Might Choose Something Different Than You Planned

• You may want more volume, but your skin can only stretch so far safely
• The profile might give you the look you want without needing more cc
• You may love a certain size in clothes, but not in proportion to your natural frame
• You might start with a “safe” size and change your mind after trying sizers
• Or you might be surprised to find a smaller implant gives you exactly what you need

Dr. Kratschmer listens carefully to your feedback and uses precise measurements to guide your decision—not pressure you into a specific look.

Safety First: Where You Have Your Surgery Matters

Dr. Robert Kratschmer performs breast augmentations in a Quad A (AAAASF) accredited surgical suite, using board certified anesthesiologists. This ensures that your safety, comfort, and long-term results are prioritized.

Just as important: he is a board certified plastic surgeon, not a general practitioner or “cosmetic surgeon” without proper training. Always check credentials.

FAQs About Implant Size and Selection

Q: Can I bring “wish” photos to my consultation?
Photos help Dr. Kratschmer understand your goals. Just remember, your results will depend on your unique anatomy.

Q: What if I regret going too small or too big?
Size change is one of the most common reasons for revision surgery. That’s why planning and trying sizers are so important.

Q: Can I get a full C cup?
Maybe—but instead of aiming for a cup size, Dr. Kratschmer will help you choose based on what looks best on your frame.

Q: Is there such a thing as too big?
Yes. Going too large for your frame can cause rippling, stretching, or drooping. A natural balance matters.

Q: How long do implants last?
Most last 10–20 years. You don’t need to replace them unless there’s a problem or you want a change.

Ready to Find the Right Fit?

Choosing the perfect breast implant isn’t about chasing a number. It’s about finding the right fit for your body and goals. The best outcomes come from open communication, expert guidance, and thoughtful planning.

To book a consultation, contact the office of Dr. Robert Kratschmer, board certified plastic surgeon, at 281-317-8179 (phone), 855-922-3330 (text), or online at SiliconeMD.com

Disclaimer: This blog is meant for informational purposes only. Individual results, needs, and outcomes can vary. Consultation with a board-certified professional like Dr. Kratschmer is always recommended to address personal concerns and conditions. This article should not constitute medical advice. Images shown may be of models and not actual patients.

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