Should I Go 355cc or 385cc? Please Advise.

Question

I am getting textured 'solid' silicone implants @ 355cc. I am tall, wear a size 34 clothing and am a 36A cup size. The doctor said the smallest he suggests I go is 355cc because of my length and brood shoulders, I want it to look natural but should I consider going 385cc? I don't want any regrets...

Tom J. Pousti, MD · Answer

Thank you for the question. Despite good intentions, online consultants will not be able to provide you with specific enough advice.

	Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:    

	1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
	       

	2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals.  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 or D cup”  etc means different things to different people and therefore prove unhelpful.  Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.        

	3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  

	   I hope this (and the attached link) help.

C. Bob Basu, MD, MPH, FACS · Answer

This is the approach I use to help guide my patients with their implant size selection:  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. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

	Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  
	Hope this helps.
	Dr. Basu
	Houston, TX

Val Lambros, MD, FACS (retired) · Answer

all of my other colleagues make good points. Practically speaking there is only a shot glass difference between 355 and 385, which is not visible in most circumstances.

Jay M. Pensler, MD - Account Suspended · Answer

It is very difficult to appreciate the difference between sizes of an implant and the result which will be obtained.The difference between implants varies from patient to patient and there are too many factors to list in this limited space.I prefer computer imaging for patients like you so that the patient can see their result and the various differences with each implant.

Should I Go 355cc or 385cc? Please Advise.

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Answer: Breast Implant Size

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Should I Go 355cc or 385cc? Please Advise.

Answers (4)

Answer: Breast Implant Size

Answer: Breast Implant Size

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.