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For some women, deciding to have breast augmentation is the easiest part of the process. Choosing the right size breast implant can take a little longer.

Let's face it: in a breast-obsessed society, bigger usually equates with better. But is it really? That depends on your individual taste, your body frame and type, and the "look" you're going for. The professional opinion of a board-certified plastic surgeon who's experienced in breast augmentation, coupled with realistic expectations on your part, can help ensure that you'll end up with the bustline you've always wanted.

The keyword here is YOU. Choose a size that makes YOU happy, not your spouse, significant other, family member or best friend. After all, you're the one who will be living with this decision.

Anatomy as Destiny — Still True?

There was a time, not so very long ago, when women lived with the breasts they developed naturally, whether they were happy with them or not. Short of wearing a padded bra, there wasn't a lot they could do to make up for a perceived deficiency in that department.

Those days are over.

Breast enhancement surgery (also known as augmentation mammaplasty) using saline or silicone breast implants makes it possible for women to choose virtually any cup size they desire. It's wise, however, to temper such freedom of choice with a healthy measure of rational thinking, especially when you consider the investment in time, money and personal sacrifice that you'll be making.

Online breast augmentation communities are full of posts from women in the throes of "boob greed" who wish they had gone bigger. Preplanning on your part will go a long way to ensuring that when your breast augmentation experience is over, you'll be happy with the results.

An experienced, board-certified plastic surgeon who specializes in breast augmentation can be invaluable in helping you decide how large you want to go. He or she can evaluate your anatomy and take accurate measurements of your chest and breasts to determine the proper proportions for your frame. The surgeon will also take into account how lax, or loose, your skin is — an important consideration because, for an aesthetically pleasing augmentation, you must have enough tissue to cover the breast implants.

Forget A, B and C and Think cc

Although bra cups are sized A, B, C and up, breast implants are not. Welcome to the world of cubic centimeters, or cc for short.

Cubic centimeters are the metric volume measurement used to define the capacity of a breast implant. One cubic centimeter equals a milliliter, which is the volume measurement used in the medical world.

Breast implant sizes for both saline and silicone range from 120cc to 850cc. To give you some basis on which to compare sizes, the difference in volume between a 300cc implant and a 360cc implant is just two ounces.

Obviously, the breast size you start with will influence the implant size you choose. If you start as an A cup, you'll need more cc's to take you to a C cup than a woman who starts as a B cup.

The Rice Experiment

One easy way to become fluent in cc and get a handle on what size implant is right for you is to do the "rice test."

Begin by fashioning a substitute implant out of a knee-high stocking and a supply of uncooked rice. A good size to start with is 300cc (30cc = 1 ounce, so 300cc = 10 ounces). Using a measuring cup, portion out 10 ounces of rice, pour it into the stocking and tie off the top. Place the stocking inside your non-padded bra and try it on for size. You can easily add or subtract rice to try on different sizes.

Try on your clothes with the rice substitutes in place to get an idea of how you'll look with larger breasts. Pay particular attention to how the fuller bustline looks compared to the rest of your figure. Is it in proportion? Add some more rice if it appears too small. If your breasts appear to overwhelm the rest of your body, be realistic about whether that's the look you really want and can live with for the rest of your life.

After you pass the rice test, you'll have some idea of a starting size for your implants. When you go to a consultation with a plastic surgeon, he or she will have actual breast implants that you can try on during your visit.

It's important to note that volume refers to size, not breast shape. Breasts that have sagged over time may need a breast lift in addition to breast augmentation to achieve the look you want.

Establishing Limits: When Is BIG too Big?

One way to answer this question during the breast implant selection process is to settle on a size that you think is right and then bump it up a notch. Try the next larger size, take a good look in the mirror and scrutinize how it looks and feels.

If you have a close confidant who knows you well, you may want to get his or her opinion as well. Consider outside advice, but remember that the final decision should be yours alone to make.

Keep in mind as well that the top reason women give for seeking revision breast augmentation is that they didn't go big enough the first time around. Additional surgery means greater expense, increased risk and another round of recovery time, so try to eliminate all doubts about the outcome of your initial surgery before it starts.

Discuss Your Goals with Your Surgeon

Once you think you've made your decision, it's time to run it by your plastic surgeon. Talk to him or her about your preferences on breast size. Some patients find it useful to bring in pictures of breasts that they find appealing. Be as specific as possible about what you like about them, but realize that your own "after" pictures will reflect your uniqueness.

After you've made your case, listen to what your surgeon has to say. If his or her professional and experienced opinion is that your selection is too big for your frame, pay close attention to the reasons why. On the other hand, he or she may suggest that you can go larger and still get excellent results. Your consultation should be a give-and-take arrangement that's open and honest so the two of you can agree on the best outcome available.

With the size and type of implants decided, your surgeon will have opinions on the best way to incorporate them into your body. Considerations include the projection or profile of the implant (how far it protrudes from your chest). Profile types (high, moderate or low) are matched to the width of a woman's chest. High profile implants, for example, allow more volume in a narrower width — great if you're narrow through your ribcage, perhaps not so much if you're broader. Your surgeon should provide more than one choice when it comes to profiles so you can agree on the best aesthetic result.

Two other decisions your surgeon can offer guidance on are implant surface and shape. The basic surface choices are smooth and textured, and each has its pros and cons that should be discussed. Available shapes include contoured (anatomical, teardrop, biodimensional), which are shaped like a natural breast and considered more anatomically correct, and round, which are more spherical or circular. Again, the pros and cons of each shape should be covered by your surgeon. The final choice will be dictated by such factors as body size and shape, skin quality, personal preference and your expectations.

If you're looking for just a modest increase in size (less than one cup), or you're interested in smoothing out slight imperfections in your breasts, breast augmentation fat grafting may be the choice for you. Not all plastic surgeons perform this procedure, but it may be worth discussing this possible option with your surgeon because it doesn't require invasive surgery or extensive recovery time.

Choices, Choices and More Choices

By now it should be clear that deciding on the right breast implant size for you is fraught with important choices and considerations. This is not a one-size-fits-all proposition, at least not if you want to be completely happy with the final results.

Make your decision a personal one, not one based on what your friend or neighbor would do (or did). Your choice is best made in consultation with an experienced, board-certified plastic surgeon, preferably one who has done many breast augmentation surgeries and has the before and after photos to prove it. Rely on his or her expertise, keep your expectations realistic, and your chances are excellent that you'll get the results you're seeking.


New or Updated Online Genealogy Data

A history of the town of Industry, Franklin County, Maine - Free
"From the earliest settlement in 1787 down to the present time, Embracing the Cessions of New Sharon, New Vineyard, Anson, and Stark. In two parts, including the history and genealogy of many of the leading families of the town."

History of the City of New York, New York - Free
"Its Origin, Rise, and Progress. In two volumes."

Young Folks' History of the Civil War - Free
"General history of the Civil War."

History of the town of Hingham, Massachusetts - Free
"History of Hingham, MA consisting of 3 volumes: Historical, Ecclesiastical history, and Hingham genealogies."

History of Michigan - Free
"By Charles Moore - in three volumes, containing biographical material and genealogy."

Early History of Idaho - Free
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Multiple volumes on the history of California, including Governors, The Jesuits, etc.

History of the Fifth West Virginia Cavalry - Free
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Louisiana; its colonial history and romance - Free
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History of Idaho - Free
Idaho, the gem of the mountains. Three volumes written in 1920 by James H Hawley, including biographies.

Short history of the London Rifle Brigade - Free
Written in 1916, about the London Rifle Brigade and compiled regimentally.

An history of standing armies in England - Free
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History of Shawassee and Clinton Counties, Michigan - Free
"With illustrations an biographical sketches of their prominent men and pioneers."

A Cotteswold Shrine, England - Free
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History of the Court of common pleas of the city and county of New York - Free
"With full reports of all important proceedings."

A history of the city of Saint Paul, and of the county of Ramsey, Minnesota - Free
General county history of Ramsey and Saint Paul City.

History of the Town of New London, Merrimack County, New Hampshire - Free
General history of New London, New Hampshire from 1779-1899.

An essay towards a natural history of the county of Dublin, Ireland - Free
Information on the natural history of Dublin County, Ireland.

The History of the Parish of Garstang in the County of Lancaster, England - Free
History of the county of Lancanshire and Garstang parish.

History of the town of Richmond, Cheshire County, New Hampshire - Free
"From its first settlement, to 1882."

History of the Town of Lexington, Middlesex County, Massachusetts - Free
"From Its First Settlement to 1868."

The History and Antiquities of Naseby, in the County of Northampton, England - Free
General history of Naseby, England and Northampton County.

Brattleboro, Windham County, Vermont - Free
"Early History, with Biographical Sketches of Some of its Citizens."

Madison, Dane County and Surrounding Towns, Wisconsin - Free
"Being a history and guide to places of scenic beauty and historical note found in the towns of Dane county and surroundings, including the organization of the towns, and early intercourse of the settlers with the Indians, their camps, trails, mounds, etc."

The History of the Parish of Kirkham, in the County of Lancaster, England - Free
History about Lancaster County England an Kirkham Parish.

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"Her people, industries and institutions. With biographical sketches of representative citizens and genealogical records of many of the old families."

Illustrated atlas and history of Harrison County, Indiana - Free
"Containing maps of villages, cities and townships of the County. Maps of State, United States, and World. County Statistics, Biographies, and History of the County. Portraits of Public and Leading Citizens."

History of Franklin County, Ohio - UPDATED - Free
A collection of reminiscences of the early settlement of the county with biographical sketches and a complete history of the county to the present time.

History of Hancock County, Illinois - Free
"Together with an outline history of the State, and a digest of State laws."

Hart's history and directory of the three towns, Brownsville, Bridgeport, West Brownsville, Pennsylvania - Free
"Illustrated with portraits and views also abridged history of Fayette County and Wester Pennsylvania"

The history of Fond du Lac County, Wisconsin - Free
"Containing a history of fond du lac county, its early settlement, growth, development, resources, etc., an extensive and minute sketch of its cities, their improvements, industries, manufactories, churches, schools, societies, etc., war record, biographical sketches, portraits of prominent men and early settlers, etc.; also history of wisconsin, constitution of the united states and of wisconsin, condensed abstract of laws of wisconsin, miscellaneous, etc."

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"Containing a brief History of the State of Ohio, from its earliest settlement to the present time, embracing its topography, geological, physical and climatic features; its agricultural, stock-growing, railroad interests, etc.; a History of Delaware County, giving an account of its aboriginal inhabitants, early settlement by the whites, pioneer incidents, its growth, its improvements, organization of the county, its judicial and political history, its business and industries, churches, schools, etc,; Biographical Sketches; Portraits of some of the Early Settlers and Prominent Men, etc."

The History of Pettis County, Missouri - Free
"Including an authentic history of Sedalia, other towns and townships, etc."

A History of the Weald of Kent, England - Free
"With an Outline of the Early History of the County in two volumes."

History of Henry county, Illinois - Free
"It's taxpayers and voters; containing also, a biographical directory, a condensed history of the state; map of the county; a business directory; an abstract of every-day laws; war record of Henry county; officers of societies, lodges, etc."

  1. The history of Nodaway county, Missouri - Free
  2. The history of Jackson County, Iowa - Free
  3. An illustrated history of Sonoma County, California - Free
  4. The history of Darke County, Ohio - Free
  5. History of Johnson County, Iowa - Free
  6. The history of Marion County, Ohio - Free
  7. Westchester County in History, New York - Free
  8. History of Chenango county, New York - Free
  9. The illustrated atlas and history of Yolo County, California - Free
  10. Pioneer history of Wise County, Texas - Free
  11. Military history of Wayne County, New York - Free
  12. Early history of Atlantic County, New Jersey - Free
  13. History of the county of Schuylkill, Pennsylvania - Free
  14. Pioneer history of Bandera county, Texas - Free
  15. Our heritage: Black history: Princess Anne County, Virginia Beach, Virginia - Free
  16. History of Franklin County, Pennsylvania - Free
  17. History of the county of Peterborough, Ontario, Canada - Free
  18. The Orange County stud book, New York - Free
  19. Early Lee County, Illinois - Free
  20. A history of Anne Arundel County in Maryland - Free
  21. A history of Northumberland, England - Free
  22. History of Elizabeth, New Jersey - Free
  23. Beard's Directory and History of Marquette County, Michigan - Free
  24. History of Columbia and Montour counties, Pennsylvania - Free
  25. History of Washtenaw County, Michigan - Free
  26. Historic Sullivan - Free
  27. The history of Jones County, Iowa - Free
  28. The history of Carroll County, Illinois - Free
  29. The History of Henry County, Iowa - Free
  30. The History of Union County, Ohio - Free


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