Choosing the best size implant depends on a number of factors. Patients' preference is at the top of the list, however, when choosing large implants the skin envelope is a primary concern. Going too big can permanently disort the breast tissue if the skin envelope is too small. For an average sized woman anything over 350 cc risks that type of damage. The largest silicone implant made today is around 800 cc. There are no hard fast rules. Discssing your options with an experienced breast surgeon is your best .bet. It is true that sometimes switching from a saline implant to lower profile silicone implant can appear to be smaller even if it is a larger volume implant. Projection (implant height) does make a difference.




