425cc Vs 450cc...Any Real Difference?

Question

I am a 28 YO female 5'7'' & 155lbs. I have broad shoulders, wide hips, & an approx. 38'' band size w/ very little breast tissue - maybe an A cup breast. I'm having a BA on Tuesday and am debating over 425cc vs 450cc silicone gel implants. I realize the difference in volume is a matter of maybe an ounce per breast. Will this make a significant visible difference? I'd like to avoid going so big that I'd look heavy.

Jonathan Saunders, MD · Answer

i am going to buck the trend and say go with the 450.  you are a tall woman and will tolerate it well.  many more women wish they had gone bigger afterwards than the opposite. that small amount will not make you look heavier. i am assuming you have already had lengthy discussions with your surgeon at this point.  good luck

Gary M. Horndeski, MD · Answer

The difference between the 425 cc and the 450cc implants is 1/8th of a cup size.  This will not be perceivable by you or the surgeon.  If your goal is to avoid going too big or look too heavy then I recommend you have the surgeon decide implant size at the time of surgery.  Prior to surgery you MUST convey your desires to the plastic surgeon and preferably show pictures.  Then trust his/her judgement to satisfy your needs.  I certainly recommend a board certified plastic surgeon.

	Best Wishes,

	Gary Horndeski, M.D.

Joe Gryskiewicz, MD, FACS · Answer

Many patients find themselves on the fence between two sizes.  In some ways you have answered your own question.  You realize the difference is so small, it probably won't matter.  You also said you wanted to avoid going too big or being too heavy, so it sounds like you are tending to go down in size and are favoring the smaller choice.  All the best on Tuesday, "Dr. Joe" Gryskiewicz

Tom J. Pousti, MD · Answer

I do not think you will notice a &ldquo;significant visible difference&rdquo; between 425 mL versus 450 mL breast implants.

	It will be very important to communicate your size goals with your surgeon.  in my practice I find the use of goal pictures to be very helpful.    I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "heavy" or "top heavy" means different things to different people and therefore prove unhelpful.  Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
	 

	 I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.  

	By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.

	Best wishes.

Steven Wallach, MD · Answer

25 cc's will not make a big difference in terms of the overall look.  Go with your cooperative decision between you and your surgeon.  Good luck.

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425cc Vs 450cc...Any Real Difference?

Answers (10)

Answer: Breast Implant Sizing?

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