400cc Silicone Implant Under the Muscle,110lbs, 5'3, 23yrs Old, B Cup,Will It Look Bad?i

On the east coast 400 is large and most women choose something smaller but also are very interested in a more natural look, if you are ok with bulging at the top of your breast you will be fine

Without photos or measurements it is difficult to suggest a size for you. But if your surgeon felt that 380 cc was appropriate to your chest and breast anatomy, then you should be confident in that advice. In general, I find that implant sizers look larger than the same size when implanted in the breast, usually by about 10%, but this is not an exact science. In general, a 400cc implant will increase your cup size two full cups. So if you want to be a full D cup size, then your surgeons advice is sound. A difference of 20cc is unlikely to make a difference in the final result. Computer imaging is a better way to estimate the implant size before surgery. Good luck.

Knowing that everyone's body is different, try to keep in mind that your results will be within a range and not exact.  Try to go in knowing that you may be on the larger end of a C cup or on the  smaller end of a C cup and convey which range you would be comfortable with to your surgeon.  With that said, going from a 380cc implant to a 400cc implant is not going to be a very noticeable difference and not really worth losing sleep over.  Sounds like you are concerned about being too small so going with a 400cc implant will alleviate that concern because you chose the larger of the two implants.  Remember, your surgeon wants you to be happy, so you can always go see him/her again to go over expectations.  Best of luck!

 

 

In Las Vegas, were I practice, 400 cc's is the average implant size. That's probably a reasonable size for you, but maybe just a little large. As you are just a little smaller than average.    I agree that they look smaller under the muscle, usualy I tell patients about 35 cc' s smaller looking that if they sized them at 400 cc's.  Make sure you try on implant sizers not just the rice thing.   Both Allergan and Mentor make breast sizers and most physicians use them. 

Best regards,

 

Dr. Lane Smith 

    If placed below the muscle, the size is blunted.  10% is as good an estimate as any.  I typically tell patients 50 cc less.  Kenneth Hughes, MD Los Angeles, CA

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

There are several variables in determining implant size.  When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal.  Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation.  You should visit with board-certified plastic surgeon who will examine you.  Try implant sizers to get a rough estimate of the size you may want.  As you know, bra/cup size will vary depending on the brand.  Good luck with you.
Dr. Sugene Kim

A formal assessment of your chest wall is required to make any implant size recommendations. 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.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.

Hope this helps.

Dr. Basu
Houston, TX

Rather than focusing on the type of implant profile or the number of cc's or bra cup size (with is manufacturer dependant), I would recommend you communicate very clearly your expectations and desires. Your plastic surgeon will decide with you on the profile of the implant based on the breast width, your body shape, skin elasticity and thickness and native breast tissue present. Based on the limited information you have given your results are achievable. In my practice I usually explain the implant types, profile and rationale for using different implants/ profiles. I also use the a special sizing system pre-op and have patients try them inside a bra so they can get a sense of their look. I never tell them what size I have picked until they show me the "look" they REALLY desire by trying on the sizing sytem in our office. Then we sit down and evaluate "the look" they have chosen and see if it matches what I have chosen by measurements and physical exam.  It does make it both fun and is a healthier partnership between patients and the PS.  Speak with your plastic surgeon. Good luck on your surgery!

I do not promise a patient a cup size because this is a ticket to disappointment.  It is best to look for a shape or contour that you like.  In our office we use the Vectra 3D imaging system.  This allows the patient to visualize their result prior to surgery.  In one year of use and over 100 breast augmentations I have had no patient complain of an implant size problem.