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Saline Breast Implant Size Advice

I am going in for a pre-op appointment next week for a breast augmentation. I am currently a small B cup and would like to be a full C cup. I am 5'5 and 135lbs and I have broad shoulders. I am planning on going with the smooth moderate plus Saline Implant, but I can't decide between 375cc or 400cc.

I was set on the 375cc, but everyone I talk to says to go w/the 400. For the end result, I would like to have somewhat natural-looking breasts that I can play down for school functions with the kids, or play up for a night out with my husband. I originally wanted silicone for the natural look and feel, but the cost is a little much right now. I am happy w/the way the 350cc looks in a sports bra, but I am aware that if they're placed under the muscle after surgery, the implants' size will appear smaller. Although the doctor took my measurements and I was in the 400cc area, I'm just afraid to go to big and don't want "in your face" implants. Which between 375cc or 400cc do you advise I should go for? Thanks!

Asked 37 months ago by Floridamom2 in Orlando, Fl

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breast size Virtual consultation

Don't Worry about 25cc's

Your dilemma is a freequent one! The good news is that 25cc's really is too small an amount to make the difference between "just right" and "too big." The implants do look about 10% smaller when they are behind the muscle as compared to how they look when trying them on in a bra. So if you liked the look of the 350cc in a bra, the 375cc is a good choice, and plenty of volume to move you into the full C cup range. Good luck with your surgery!... more

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Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Let's look at the numbers

The only way to determine what is right for you is to perform a dimensional breast evaluation. First, determine the appropriate implant width. The implant should be situated, so that the central area of the implant is directly under the nipple. The radius of the implant will then demonstrate the adequate amount of cleavage. Add your preexisting breast tissue and skin volume to decide the amount of cleavage. Once you have decided on the appropriate radius for the implant, double it to... more

Robert M. Freund, MD

New York Plastic Surgeon

ASPS

I think you will be a "D"

Cup size is a fashion statement....and many people wear the wrong size bra. You have to have some faith in your surgeon with regard to size. Having said that, by the height and weight you stated, I think you will certainly be in the full C range and maybe in the D range, depending on the bra manufacturer. There are many other factors that would have to be taken into consideration, which would require an exam before I could say much else. Good luck.

Darrick E. Antell, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Choosing breast implant size

Breast implant size is a very important issue to be discusssed with your plastic surgeon prior to surgery. There are various measurements that your surgeon should take to help guide the decision making process. The ultimate volume/size that you can become has more to do with your skin elasticity and soft tissues than your actual preference. Meaning, that although you may want to become a "D" cup for example, if your skin only can accommodate a "C" cup,... more

William Bruno, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Choosing breast implant size - 400 cc

The difference in size between 400 and 375 cc is not significant and I would highly doubt that this difference is clinically observable. I would not risk the higher size if you are still unsure. Remember, this experience should be fun and exciting, not stress-inducing. You will be happy either way.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Saline implant size advice

Many women fret over 25 or 50cc differences in implant size. The fact is, the difference is very small. 375cc though is a large implant. I consider implants that are 400cc or larger as "oversized" implants. When choosing an implant, the most important features are the diameter and the projection. For diameter, you want implants that are the same size or narrower than your breast width. Choosing the correct diameter helps prevent the common complaint of the... more

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David Bogue, MD

Boca Raton Plastic Surgeon

Not much difference between 375 and 400 cc breast implants

It is not true that implants under the muscle look smaller, at least in the long run. Most women wish they had gone a bit larger if asked a year or so after the operation. If 375 was placed on one side and 400 on the other, you'd have to look very critically to see the difference. Probably 400 cc will be your choice but I would reconsider silicone gel implants. My patients much prefer them.

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Sizing of implants prior to surgery

It may be a good idea for you to bring in pictures of the look you would like to achieve to show your plastic surgeon. This may help him get an idea of what natural cleavage and volume you want while also not going too small or too big. Remember that internally your anatomy is very different, a difference of 25cc will not effect the results of the size. I would not worry too much. Definately emphasize that you do not woatn a fake look and make sure your plastic surgeon understands your... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Saline Implants and sizing

25 cc is not a significant difference, so don't kill yourself over it. You really would not see the difference. As for a natural looking breast, as stated, the moderate profile implants give you a much more natural shaped breast than the moderate plus or high profile. So, depending on the shape you are looking for, the profile will determine that, and of course also make sure you are going under the muscle, as that adds to the "natural-ness" of the look. Good luck.... more

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

With breast implant size, go with the look you want

Floridamom2, The selection of implant size is an issue that I, as a surgeon, deal with every day. With experience, a surgeon learns how to relate the diameter, projection, shape, and volume of an implant to meet the individual patients goals. It does not matter whether the implant is a saline or a gel implant, the process and the judgement are the same. With years of experience, I know that you cannot choose an implant based on how it feels in a bra. When we use trial bras, the tradition... more

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Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

Choosing breast implant size

25 cc's is not a big difference at all. You really want to go with implants that are proportionate with your body frame and then go from there. WIth so many different shapes of implants, the best thing to do is pick the base diameter that fits you, then go with the projection that you want (cup size). Whatever the number is whether it is 250cc or up to 500 cc's it should be OK. This is a choice you make with your doctor.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

This 25 cc size difference is very small

Hello, The difference between a 375 and a 400 cc breast implant is too small to worry about. If you are going for a natural look, I would recommend a moderate profile "under the muscle" smooth walled implant though. I use the patient's breast diameter to guide me as well as a sizer at surgery. All surgeons all do them a bit differently, but is your surgeon's advice that should count here in the fine-tuning. He or she has examined you. Best Regards.

John P. Di Saia, MD

Orange Plastic Surgeon

Your surgeon need to use sizers during surgery to determine best size implant.

To Floridamom2, Hi! I am assuming you are a 36 small B bra. You should not just focus on the number of cc's. It's the look you want that matters. Here are some tips: 1) With either 375 cc's or 400 cc's, you will be BIG. You will be at least a very large C cup and probably a D cup. If you are a 34 small B, then you will end up even bigger, because cup size varies with the band. Also, implants of this size tend to create too much roundness in the upper part of the breast which can... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Let your surgeon help you.

Once you see your surgeon for the pre-op consultation, he/she will be able to help you decide which implant size is best for you. Also, know that the saline implants have a range of fill so that a "350" implant can be filled to 380 cc's or a little more. A "375" implant can be filled to 400 cc's, etc. This gives your surgeon some flexibility during the procedure to give you the best possble result. Also, realize that a difference of 25 cc's is less than 2 tablespoons... more

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Christopher W. Chase, MD

Chattanooga Plastic Surgeon

ASAPS ASPS

25 cc is not a significant difference

When a patient tries to make a decision on size, many times it seems like there is a big difference between 375 cc and 400 cc. Frankly, if you think of it in ounces then it is more like 12.5 ounces versus 13.3 ounces. If you had a cup of coffee and you added 0.8 more ounces the difference would be minimal and so it is with the two sizes you are considering. There are also differences in size between each breast, and saline implants allow the surgeon to have a range of volume fill. That way... more

Francisco Canales, MD

Santa Rosa Plastic Surgeon

ASAPS ASPS

Essentially no difference between the two you are considering

There is only a very minimal difference between the two implants you are considering, a couple of millimeters of diameter and 25 cc's of volume. You wouldn't notice much, if any, difference between these implants so choose based on whether your greater concern is winding up a tiny bit too big or a tiny bit too small. And emphasize the "tiny bit" because the difference really is just in your own mind.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

The Volume Difference is too Small to Agonize over

The volume you are talking about , especially in a moderat plus profile will make almost no difference visually so go with th 400 cc for psychological reasons.

John P. Stratis, MD

Harrisburg Plastic Surgeon

ASAPS ASPS

Some guidelines

The most natural implant is the implant that is hidden behind the natural breast tissue. THat having been said, an individual patient needs to prioritize what is important to her: look, feel, side effects, scars, etc. I would not look at volume at all. The dimensional approach to choosing the appropriate implant looks mainly at width and projection. The resulting volume is a by-product of that analysis. In general, see what implant dimension fits the natural breast. If your breast is 12 cm.... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

The best implant volume is a range and not a number.

Technically there are few more numbers that help me to better choose the best suitable implant. Most importantly the diameter of your breast and the distance between your nipple and notch. However, your two choices are so close it will not make a major difference. What I tell my patients when they get confused between two close volumes: -The suitable volume implant is usually a range and not an exact number. -A 25 cc volume difference is so small, the human eye might not see that difference... more