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Saline to Silicone - Do I Need to Go Up in CCs to Have the Same Result?

asked 1 year ago by star26 in Indiana
Latest answer by Tom J. Pousti, MD
Question viewed 435 times
Tags: 5 ft 0 in to 5 ft 3 in, exchange, implant size

I currently have 275 mentor round smooth saline implants filled to 300cc's. I am considering switching to silicone and I am looking to be a little bigger but not much. My rib cage measurement is 30 and I am currently a 34 full C small D.My doctor suggested going with 350cc's silicone but will this be enough?I mentioned I want to go to 400cc's but he said it would be too much.I am only 5'0 and I don't want my breasts to have the "fake" look. I am changing because I am hoping to get more cleavage.

13 answers to Saline to Silicone - Do I Need to Go Up in CCs to Have the Same Result?

Saline to Silicone--Is 50cc enough?

It's always a good idea to follow the advice of the surgeon who is examining you, talking to you about your goals in keeping with your anatomy, and who knows and has operated on your anatomy, rather than any number of on line doctors. However, sometimes an objective outside point of view is helpful. As I previously answered in another question from you, 50cc is 3 tablespoons plus 1 teaspoon of additional volume. You will not be able to tell a difference with this degree of increase.... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Breast surgery revision

Much of the final “look” achieved after breast augmentation revision surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Going from saline breast implants to silicone. Do I need larger implants?

I don't think there is much difference in the appearance between the same volume silicone and saline implants. The choice has more to do with the amount of soft tissue coverage. If the breasts are far apart now and you have only skin over your breast bone (sternum) It is not possible to give you cleavage. I agree with your surgeons choice.

Farhad Rafizadeh, MD
Morristown Plastic Surgeon

Saline to silicone

You definitely need a larger implant when going from saline to silicone. How much depends on how you look during surgery. Your doctor should use sizers during the procedure to determine the right size for you.

Michael A. Fiorillo, MD
New York Plastic Surgeon

Saline to Silicone implants

There are two issues here. First of all, a 50cc increase in size is negligible, and you may not notice much of a change. To get more cleavage the pocket will have to be enlarged more towards the breast bone and closed off towards the outer chest area. This may or may not be possible for you, and you should discuss these issues with your surgeon.

Andrew P. Giacobbe, MD
Buffalo Plastic Surgeon

More cleavage....

To get more cleavage, there are a couple of factors to consider: 1) would a wider base width implant work better for you, 2) can the pocket be opened up medially any more, 3) does the pocket need to be closed up (plicated) laterally It's really not about the CC's, although sometimes it works out that way. Speak to your surgeon about these concerns. All the best,

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

More cleavage

Your greatest concern was actually listed last. Whether cleavage (inside breast fullness) can be achieved is in part dependant on your anatomy and the width of your sternum (breast bone). It is unreliable to solely base implant decisions on the number of ccs. It is better to determine the dimensions of any implant and the corresponding measurements of the breast in order to predict the desired result as closely as possible. You have identified your height... more

Richard J. Wassermann, MD, MPH
Columbia Plastic Surgeon

Saline to Silicone - Do I Need to Go Up in CCs to Have the Same Result?

If you are switching from saline to silicone, 50cc difference in volume is going to look the same to you. I think that you should consider a minimum of 100cc difference, ie: 400cc like you stated. I would be hesitant if I were your operating surgeon to offer you an exchange with only an increase of 50cc as I feel you would be highly disappointed in the results. The volume of fluid is spread out over the entire implant, and will be such a subtle change if you are increasing only... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Implant exchange question

While general guidelines can be given over the internet, to fully assess the best size for your body and your postoperative desires, you need to be examined and counseled by a board certified plastic surgeon. Don't get caught up in the number (i.e. 400 cc vs. 350 cc etc). Discuss exactly what you want your postoperative result to be and then trust that your board certified plastic surgeon has the knowledge and skill to give you that result.

Timothy W. King, MD, PhD
Madison Plastic Surgeon

Implant exchange

The person who has the best chance to offer the correct advice is the one performing the exam and discussing your goals with you in person. The volume or shape of the implants can be matched up pretty well. As for increasing the volume 50 cc's. It is not alot of fluid and will not show a huge difference.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Implant Change

I would agree with your plastic surgeon- 300 to 350 is a small increase that would satisfy your desire to be a little bigger. Going up to 400 will likely seem too big to you. Please keep in mind that if your goal is to have more cleavage, the answer does not lie with a larger implant, but a better bra. Making your breasts larger does not always translate into more cleavage.

Derek Lou, MD
Houston Plastic Surgeon

Implant size question

"I am looking to be a little bigger but not much." Going from 300cc to 350cc is "a little bigger". Going from 300cc to 400cc is more than a little bigger. Your surgeon's recommendation sounds reasonable to me, if you want to be a little bigger.

James W. Ward, MD
Dallas Plastic Surgeon

Need to examine you

Hello, While general questions can be addressed pretty well on the site, your question really requires a physical examination to address properly. Best Regards, John Di Saia MD