Can 300cc or 275cc Breast Implants Give Same Effect As 325cc?

In my experience of over 4000 breast implants, it is rare that one size fits all and that one size is the correct implant.  What is most important overall is the appearance and what size gets to that appearance in clothes.  With sizers on, a bra, and tight fitting garment, you will be able to see what shape you enjoy most and if it is right with your body.  As a surgeon, I can measure and then counsel a woman if it fits (it often does).  You are thinking of a small implant, moderate profile.  My suggestion is that a Sientra implant with highly cohesive gel round textured might be a better choice.  This is supported by the most recent literature as well.

The question of breast
implant size is always difficult for prospective breast augmentation patients.
For this reason, multiple approaches are utilized to make this determination
pre-operatively. These include reviewing magazine photographs, external sizers
and recently the 3D Vectra computer imager to name a few.

 

         Even when tremendous
care is taken pre-operatively to determine breast size, the final decision
needs to be made in the operating room by the surgeon. At this point, an
assessment can be made regarding how the patient’s breast tissue interacts with
the breast implant. Occasionally, obtaining a specific size does not allow the
surgeon to meet the patients other aesthetic goals. For this reason, locking
into a specific size isn’t always a good idea. Results are often better when a
surgeon has the ability to make adjustments in the operating room.

 

         It’s also important
to realize that for many patients, a 50cc difference in breast size would be
difficult to notice. In reality, a 50cc difference is less than four
tablespoons which is spread out in three dimensions over the implant.

 

         In your case, I
think it’s important to thoroughly discuss your aesthetic goals with your
surgeon. Make sure he has the latitude to do what’s best for you in the
operating room so he can meet your aesthetic goals. It’s important that you
have an approximate idea of the breast implant size that you are considering,
but don’t become married to an absolute number. 

It is very difficult to determine the exact size and shape of implant that will get you the results you desire without an examination by a board certified plastic surgeon. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be tough to answer your question. For example your native base width of your breast will determine in many cases the maximal volume per implant profile that you can accommodate. To illustrate a 100 cc difference may make a significant difference with a narrow base width, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Additional critical decisions will also be made by your plastic surgeon such as: whether your implants will be above or below your pectoralis muscle. These choices are recommended to you based on the look you desire, the amount of sagging you may have, and other deciding factors. I always find it helpful for patients to bring in photos from my or other plastic surgeons’ websites to illustrate what they would like to look like. I bring these photos to the operating room for reference during surgery so that I have the advantage of “seeing through my patient’s eyes” to achieve their wishes.I personally order more than one set of implant sizes and use sterile sizers placed in the pocket during surgery to know in advance exactly which implant would work best for you. Software morphing programs can be helpful in some but not all cases (e.g. doesn't work well in my experience with existing implants, sagging or asymmetric breasts).My advice is to accept advice from your board certified plastic surgeon after a formal consultation and examination with measurements.. If still confused don't hesitate to get a second opinion.