Breast Implants: Q&A

Ask a Question

Do You Lose 50 Cc's with Behind the Muscle Silicone Implant Placement?

I am getting silicone breast implants on Friday and am really scared of going too big. I am currently a "B"; I want to be a "C". I have chosen 350cc in hopes they will look like the 300-325 implant I tried at my doctor's office.

Tags:

Comment on this

40 Doctor Answers | Asked by ADW in Kansas City, mo

Doctor Answers (40)
Community Comments (2)

+11

Under the muscle implants should be larger than the sizers

One of the most uncertain things for women undergoing brest augmentation is to know what they will look like with a certain volume implants. And, as a surgeon, it can be difficult to understand what a women wants when she say she wants to be a full C cup of a small D cup. The use of sizers during the pre-operative consulations has made this very much more straight forward. We will put our patients in a bra and then place different size implants in the bra to both let the patient know what... more

+11

Significance of implant size

The difference between 325 and 350cc. is less than10%. However, in general, size of implant is determined less by cc's and more by dimensions. Patients have a hard time understanding this and often get fixated on the cc's. The volume is the result of dimensional analysis, not vice versa. In fact, the volume tells nothing about the implants since a 350cc implant can have different dimensions (i.e. base diameter and projection) and thus produce different-looking breasts. The best way to choose... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Breast size with implants over vs. under the muscle

What is important to most women seeking breast augmentation surgery is the end result, not the exact size of the implant. Often, patients are surprised to see before and after photographs and learn that a woman with 250 cc implants may have fuller looking breasts than a woman with 325cc implants. There are many variables to consider when selecting the size of implant: The height and frame of a woman, how much breast tissue she has to start with, whether or not she has had children. Cup size... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

You might also like...

Real Stories

Excited but Nervous at the Same Time - Houston, TX

Hi ladies I'm 25 about 122lbs 5'3 and I have two little girls 6yrs and 10mon. I've been...

Before + After Photos

View 4256 Breast Implants photos

Implant larger than sizer

Essentially the question is that of: How do I choose the correct implant to get the look I am wanting? This is the most important question when it comes to breast augmentation. In order to better address this question, we need to establish 2 main points: First: Implants do not come in "cup" sizes. They either come prefilled (in case of silicone gel implants) with certain volume or unfilled (in case of saline implants) with a range of fill capacity. In either case, the fluid... more

Volume does not change, but Visual size does.

The hardest part about performing breast enlargement surgery is getting on the same page as my patients with regard to breast size. Often, there are conflicting points of view that confuse an already nervous patient. There are friends telling the patient that they should not do it at all. There are those at the other extreme telling them to go as big as possible. And in the middle are friends telling them that they should go bigger than the doctor suggests or more specifically the dreaded... more

No such thing as too big?

Although there is such an entity as "too big", this is rarely the case in breast augmentation surgery. In fact, the saying "I should have gone bigger" is also becoming a dinosaur. The reasons: 1. American Board of Plastic Surgery plastic surgeons take painstaking efforts to try to size the implants to fit your body characteristics and your wishes. Often we have several preoperative consultations to very accurately determine what implant size is right for you. 2. ... more

Silicone versus saline breast implants

I find that choosing to go under the muscle and using a silicone implant both are factors in selecting the proper implant size. Silicone implants are underfilled (except for some newer versions used in Europe), and have different tactile and visual aesthetics than saline implants, which are usually overfilled like a water balloon would be if you were trying to smoothen out its edges. I usually compensate by choosing about 25-50 cc more in a silicone implant than I would for a saline implant... more

See your plastic surgeon and adequately discuss your implant placement and size .

Ninety five percent or our patients choose to have their silicone implants placed beneath their chest wall muscle (submuscular, also known as the subpectoral plane) and choose implants in the range of 300 cc’s to 450 cc’s. In this range, we usually advise our patients that the muscle may flatten the implants to a small degree and we usually add about 10% to their total volume. Our patients choose their implant size by placing demo implant sizers in a bra. Most important is for... more

Does Size Really Matter?

Many variables affect the final outcome of breast augmentation, but the one that most patients seem fixated on is the "cc's" or implant volume. Patients often compare notes with their friends or family members who have also had breast augmentation, and may feel "slighted" if they receive implants that are smaller than what was placed in their co-worker or cousin. This is like being disappointed after a really wonderful dinner that you didn't eat as much, or the same... more

Breast Implant Sizing

I agree with many of the surgeons responses in this thread....I have my patients sized in my office after I complete their physical exam and take appropriate measurements (about 10+). They use a sizing bra with silicone implants as sizers....the sizers are in a range governed by my measurements and the patients desired outcome (B,C or D cup). I tell all patients that SUBMUSCULAR implants loose about 10-15% of their volume in this position and to therefore upsize appropriately. I then use more

Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (2)

Cohsives400400
25 days ago

I think if you a B that's gonna make you to big. I would say 250. At most. I just had same problem and after 7 mths of hoping they would get smaller i had them taken out......

grownaswoman
4 months ago

I'm not a PS, but u will lose some volume if u go under the muscle. If I've seen this website before having my BA, I would have went a larger size, because I'm a large frame woman. I do regret I did not go larger, but that is just me. I'm not looking for a Dolly look....just a fuller look and my $$$ worth. Good luck with your sizing and speedy recovery :)

Ask a Question

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.