There are many challenges in developing a standardized bra cup system, the most significant being that bra cup sizes are a continuum. Women's breasts occur as a fluid range of shapes, sizes, and volumes. Patients have specific expectations regarding bra cup size, and failure to achieve expectations remains the leading cause of patient dissatisfaction. Implant selection that determines eventual bra cup size is critical in patient education and management of patient expectations; however, this is not achievable until all speak the same bra cup language. Patient and surgeon perceptions may never be exact, but it is important to establish guidelines and standards to bridge this gap.
Keywords: 3-D imaging; Biodimensional planning; Bra cup sizing; Breast augmentation; Breast hemicircumference; Breast measurements; Highly cohesive gel implant; Sister sizes; Tissue-based planning.
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