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375cc or 400cc Implants for Breast Augmentation?

asked 2 years ago by Mrs.Vo in San Jose, CA
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 15,862 times
Tags: breasts, female, 130-149 lbs, 5 ft 4 in to 5 ft 7 in, 350-399cc, 400-449cc, A cup, B cup, C cup

I am undergoing a Breast Augmentation in two weeks and was wondering which implant is more likely to bring me to a full C. At my consultation I tried on a 400cc Breast Implant but felt I looked "top heavy," and felt that 350cc were too small for me. I liked the projection of 400cc so I was wondering if I should get a 375cc implant in moderate plus or moderate. Which would look more natural? My stats are 5'6" and 135lbs. I'm starting off with a 34A or small B. Thanks!

19 answers to 375cc or 400cc Implants for Breast Augmentation?

Fine-tuning breast implant size

There is of course no perfect way to predict the size you will be happy with in the long run. When using samples in a bra, they tend to look larger and more projected than when they are implanted, so we usually "round up." Most important is the dimensuion of the implant in terms of diameter. The 25 cc difference is less than 2 tablespoons.

Richard Baxter, MD
Seattle Plastic Surgeon

Breast Implant Sizing

You are in the vicinity and 25 cc here or there is not going to make a noticeable difference. The look is very different when you are trying sizers in a bra as to when the implants are placed. What you need to look for when trying sizers is the volume not so much the look because that is not very accurate. Moderate implants will give you a more natural look and more cleavage, where as the moderate plus or high profile look more round and more projecting as well as looking a bit more on... more

Farbod Esmailian, MD
Orange County Plastic Surgeon

375 cc versus 400 cc? Crazy to Quibble Because the Difference is Just 6%

I think that you have done your homework! You have spent a lot of time providing a narrow range of choices for your plastic surgeon. Now, step back and trust him. The difference between 375 and 400 cc is just 6%. Consider that you may have another 200 cc of natural tissue, so you are really debating between 575 and 600 cc, which is just a 4% difference. At this point, I would recommend finding some photos of "ideal" breasts and handing them to your surgeon. Your doctor can use... more

Michael C. Pickart, MD
Ventura Plastic Surgeon

Correct Breast Implant choice depends on base of breasts

The difference between the 2 implant sizes that you indicated is mainly one of width. There is minimal difference in projection. The choice of the correct implant largely depends on the width of the base of your breast, thus the 400cc implant will give you better cleavage, but may also project from the outer chest area more. The 400cc implant will also give more upper pole fullness. The moderate-plus implants usually would also give more upper pole fullness, and often will improve mild... more

Wilfred Brown, MD
Fairfield Plastic Surgeon

Choosing the right breast implant

Hi Mrs. Vo - From your photo and information, you may want to try a 350-375cc high profile implant. This will attain the projection you like without being as big as a 400cc size. The high profile imlants are great for projection, so talk with your plastic surgeon to see if this would be right for you. Good luck!

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Differences in 350 cc, 375 cc, and 400 cc breast implants are slight

When considering the 350, 375 and 400 cc implants realize that the differences are very slight and you probably would not be able to tell the difference once they are in place. The differences that you see when they are tried on tend to go away when they are put in. The Moderate plus profile would seem a reasonable way to go and given your size 375 cc would be fine.

John P. Stratis, MD
Harrisburg Plastic Surgeon

25 cc difference in breast implant size is less than 1 ounce

The difference between 375 cc and 400 cc is so small as to be hardly noticable after surgery. Remeber as well that when you try on the implants inside a bra they appear slightly larger than the same size implant after surgery. At the consultation, if the 400 cc at your consultation looked a little bit too big that is probably the right choice for the implant. Remeber also that nationwide about 80% of patients say they wish they had gone just a little bit bigger. The moderate profile will... more

Robert B. Pollack, MD
La Jolla Plastic Surgeon

Sterile disposable sizers during surgery are the best way to pick breast implants.

Hi! 1) This is such a common question that I wrote an article for RealSelf about it. You can see it under my profile. 2) Also you may find the link below about breast augmentation helpful.

George J. Beraka, MD
Manhattan Plastic Surgeon

Don't look at volume for breast implant size

Please read my other posts regarding breast implant size. In short, it is not the volume that you should be looking at. You need to look at the width or dimension of your breast and your desired goal. The volume is a by-product of this analysis and can be used as a double-check against what seems reasonable to your surgeon but there are different implants with the same volume that give different results. For example, you state that you like the projection of the 400cc implant but the 375... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast implant size

I use moderate plus implant for the vast majority of my breast augmentations. I find that this is good projection towards the apex of the breast and yet does not create excessive upper pole fullness. With respect to your question, I find that difference is a 25 cc are hardly noticeable once placed behind the breast tissue. I think he you will find that many surgeons have many opinions about which types of implants to use and in fact I think, it's really a matter of personal preference. I... more

Adam David Lowenstein, MD
Santa Barbara Plastic Surgeon

If it's "natural" breasts you want - the moderate profile is for you

Natural breasts have a nice upper pole but no bulging above a straight line from clavicle to nipple. This is the look of a moderate profile implant. Moderate plus implants look slightly fuller than natural in the upper pole. Make sure you know the look you want then choose the corresponding profile. Examples are available on my web site.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Augmentation Size Choice

There is no perfect way to predict the look of implants post surgically. However, the difference between the two implants is not dramatic (about 6%). If you trust the surgeon, then trust the surgeon to choose the best implant for your dimensions.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

Sizing implants

The difference between 375 and 490 cc implants is very small, particularly in projection. There would not be any appreciable difference in appearance, particularly if the implants were sub muscular. It is important to convey your feelings about sizing to your plastic surgeon before the procedure. Many women later regret not going bigger but factors including age, hip size and your profession need to be considered.

Robert L. Kraft, MD
New York Plastic Surgeon

Go Bigger!

When in doubt between 2 sizes, I recommend going bigger. After the implant is placed, it will look smaller than you had anticipated. Most women after BAM wished they had gone larger! Good luck, David R Finkle, MD

David Finkle, MD
Omaha Plastic Surgeon

Breast implant size

It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast augmentation

If you are choosing between two sizes I usually say pick the bigger size because the most common thing people say afterwards is I wish I would have gone larger.

David E. Kim, MD
Beverly Hills Plastic Surgeon

Breast implant sizing

Sizing of breast implants can be difficult. But, you have nailed it down pretty well. 25 cc's will not make a significant difference so I would let the surgeon decide at this point which one to go with.

Steven Wallach, MD
Manhattan Plastic Surgeon

375 or 400 cc breast implant for augmentation

My patients tend to prefer the appearance of a moderate plus over the moderate but that is a matter of personal opinion. If you are going under the muscle and you have tried on a 350 and feel it is too small, I would go with the 400 moderate plus ( to compensate for 10-15% volume loss from compression due to under the muscle placement). However in my opinion either the 375 or 400 are likely to take you up to a very full C or small D.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

I always recommend choosing larger breast implants

I always recommend going to the larger size, 371 cc's. After 30 years+ of doing implants I can count on one hand the number of patients who felt they were to large vs the common complaint of, "I wish I would have gone larger!" As for moderate vs moderate-plus go for the more projection implant. But you really should be discussing these issues with the operating surgeon. Get ALL your concerns answered prior to surgery. Best of Luck!