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Will 400cc Silcone Implants Be too Large for my Body Size?

asked 1 year ago by lovebug11 in Salem Oregon
Latest answer by Tom J. Pousti, MD
Question viewed 1,755 times
Tags: silicone implant, under muscle, 400-449cc, implant size, rice test

Hi,I have saline breast implants now at 270 left breast and 300 right breast.I am getting them redone but am at the stage where I have to decide the size.I have done the rice test and added 100 cc more to what I have and can not really see the difference, but I know there would be. I am 5ft 0in and 120 pounds and rib cage is 33.5 around. Can you tell me if 400cc is to large for me to go with silicone implants.Do silicone lay the same or do they appear smaller after inserted under muscle.

16 answers to Will 400cc Silcone Implants Be too Large for my Body Size?

Changing from saline to silicone breast implants

A rule of thumb when changing from saline to silicone breast implants is to increase the size by 100cc. This is because of the way the implants are made. Saline implants are inserted empty and then filled. When they fill, they take on an oval shape. Silicone implants are inserted filled. They are manufactured in the shape of a half-oval, with a flat base. The flattened base accounts for the increase in volume necessary to match that of a saline implant.

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon

Implant Size

In my opinion, silicone implants appear smaller than similarly sized saline implants. In addition, most studies indicate that for a patient to "appreciate" an increase in implant size, 150-200cc needs to be added to the existing implant volume. This of course varies based on patient size and anatomy.

Marc Schneider, MD
Fort Myers Plastic Surgeon

Breast implant sizing

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

Increasing the size of the implants may be possible. There are different profiles and the base diameter of your breast will determine what size implatns will fit on you chest. Silicone implants of the same volume do tend to look a little smaller than comperable sline implants. Good luck

David L. Abramson, MD
New York Plastic Surgeon

Picking the "right" implant for you.

I consider two factors when selecting implants for my patients: 1.Dimensional planning 2.Gel Implant Sizing system Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your... more

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Too large of implants

Yes, with your height and weight, 400cc of any implant would be too large and may cause problems in the long run.

Adil Ceydeli, MD
Panama City Plastic Surgeon

Breast Implant Sizing

Prior to deciding on the right size implant, your surgeon should evaluate the width of your chest wall and the breast tissue and overlying skin envelope. I believe a high profile gel implant carries similar projection to a moderate plus saline projection. In addition to implant size, I would consider going with a higher projection. Assuming your chest wall width and skin envelope will accept a 400 cc implant, you can expect a cup size increase with... more

Paul S. Gill, MD
Houston Plastic Surgeon

Changing implants

Without an exam it is hard to say but if you are looking for more volume, you would need to probably add between 150-200 cc'sat least to see a cup change.

Steven Wallach, MD
Manhattan Plastic Surgeon

Increasing breast implant sizes - C cup

If you are undergoing primary augmentation and had little breast tissue then a 400cc silicone prosthesis would certainly make you at least a full C. It would be helpful to know with your present implants what the end fill volumes were, since that will have an effect on how much a change the 400cc prosthesis will create. In my experience, silicone prosthesis of equal volume appear somewhat smaller than their saline counterparts. So that if for example, the right 300cc implant had been filled... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

Breast augmentation

Please be careful about placing too large of an implant. The price that your tissues will pay in the future may not be worth it. 400 cc for your frame sounds a bit too large, but this is without seeing any photos.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

www.AdvancedAesthetic.com

Larger mplants may not be better

The process of using larger and larger implants can cause thinning of your breast tissue and even if you go to a gel implant, they can become more obvious, with more rippling or denting. You are also adding weight and you can have more sagging down the road.

Victor Au, MD
Chapel Hill Plastic Surgeon

400 cc breast implants are very large for you.

Hi. When doing breast augmentation in new york city, we rarely use implants this big, and certainly not on someone your size. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast augmentation -getting it right the first time

This is not like tailoring clothing and more can be the enemy of good. I usually advise against replacing implants just because you do not like the size as opposed to replacement for implant malposition, implant rupture or bad capsular contracture. Once you have breast implants placed you have automatically bought another breast surgery sometime during your life time. The key is to make the time spam between procedures as long as possible. Each time you operate on the breasts you stimulate... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Silicone Breast Implants compared to saline

When comparing saline and silicone implants, in my experience, a larger volume of silicone is needed to get the same appearance as a saline implant. However, the other thing that most determines how an implant will look is the profile and projection of the implant. If you have selected a high profile silicone implant, then a 400 cc implant would probably be correct for your frame. This would depend on the measurements from your consultation, but it sounds like the size... more

Jason Brett Lichten, MD
Columbus Plastic Surgeon

Breast implants: increasing size from saline to silicone

In my experience silicone implants appear smaller for the stated size. In fact when doing sizing, we use a 10-15% correction for saline implants but use a 15-20% correction for silicone when using sizers to estimate implants under the muscle. in my opinion, this is a very modest increase and probably the minimum you should consider if you desire to go larger.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Increasing breast implant sizes

Usually you need 100 cc's or more to see a difference that is worth it, but also you need to consider the "profile" of the implant because a 400 cc moderate profile will look more natural that a 400 cc high profile which will look fuller up top.