One of the most difficult decisions that my breast augmentation patients face is choosing the size of their breast implants. It is a time consuming process that is filled with uncertainty. The preparation for breast augmentation surgery should be an exciting time, not one filled with dread.

Over the last several years, we have used a system in my office to help women size their breast implants in the comfort of their home. As a result, very few patients are now "surprised" at the size of their breasts after surgery. A few "supplies" are necessary to create your "sizer implants."

Supplies:

1. One clear glass 2 Cup measuring cup with red lettering (Pyrex® brand) that has both ounces and cc/ml on the sides.
2. One box of Zip Lock® sandwich bags
3. Bird seed (preferred)/small grain rice.
4. Buy a new non-padded bra or "sports bra" in the size that you want to "fill" after your surgery. Cut any under wire out of the bra. Choose a department store with a large lingerie department such a Macy's or JC Penny. I recommend using Victoria Secret for your bra purchase AFTER surgery, NOT BEFORE, for your "sizer" bra. This is due to the inconsistency of their bras for sizing purposes.

Measure the amount of the filler for your "sizer" implant using the metric (cc/ml) side of the measuring cup to create the size that you want to use. Pour the birdseed from the measuring cup into the Zip Lock® bag. You can use tape to "form" a better shape of the "sizer" after you have filled the bag. Create several different "pairs" of "sizer" implants using 25 cc increments, such as 225cc, 250cc, 275cc, etc. Remember that for most patients a volume of 200 ml to 250 ml is needed to increase the size of the breast by 1 (one) bra cup size. Thus, to increase from an "A" cup to a "B" cup will take an implant of at least 200ml.

Then look in your closet or dresser drawers for your favorite dress, blouse, camisole or T-shirt. Place the sizers into your new bra that you want to fill after surgery followed by your choice of clothing and model in front a mirror. Also, ask your trusted friends, significant other, and/or family members how the different sizes look.

With this new information, your office consultation for sizing your breast implants will be an enjoyable experience and the first step for your new look that you have dreamed about.