Should I go with 450cc to get the 425cc sizer look?

Factors which contribute to the outcome of Breast Augmentation are #size, #shape, and #profile. The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. This may also provide some insight. If a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc. The profile is determined by the amount of projection versus roundness that the you desire, as well as the size of the implant and size of your chest. As much as it's important to know what size bra you currently wear, the strap size is important to know as well. It affects the diameter of the cup and subsequently the diameter of the #breast implant that you choose. In my practice, about 15-20% of the patients are good candidates for silicone #shapedimplants.#Subpectoral or #submuscular implants refer to placement under the muscle which still remains the most common placement in the United States. #Submammary or #subglandular implants are the placement under the breast tissue in front of the muscle. This tends to more common in Europe and South America. General guidelines suggest that women with larger drooping (ptosis) breasts that do not want a breast lift often have the implant placed above the muscle, although another option, #DualPlane, has become more popular. In the Dual Plane method, the implant is placed under the pectoralis muscle but the breast tissue is also release, in part, from the muscle. Those patients with minimal breast tissue should usually have the implant placed beneath the pectoralis muscle for more soft tissue padding.

25cc is unlikely to make a significant difference in the appearance of your breast augmentation. It's a question that's best directed to your surgeon, but in general I recommend that patients who are undergoing a submuscular implant go one size up from the sizer that they like in the office. The muscle can flatten the implant slightly and make it appear smaller.

Thanks for asking. In most cases, a 25 cc difference will not produce a significant major appearance difference. I encourage patients to pick the implant size based on their goals and their body type and measurements. A frank discussion with the PS is key. Best wushes

Depending on the patient's breast shape I typically use the Vectra 3-D imaging device to help give the patient an idea of what the breast implants will look like.  Typically, I use a bra with gel implant sizers.  In your scenario if you like the way the 425cc sizer looks then I would recommend doing the 450cc implants to give you a similar look as the 425cc implant placed against the chest.  Typically, once the implant is surgically placed inside it doesn't have quite the same projection and appearance as when it is help up to the chest.  Once in place the implants are more natural looking.

Hi and thanks for your question. As others have already said, there isn't much of a difference between a 450 and 425 cc implant. It won't be the difference between a result you like and a result you love. As the patient, the most important thing you can do is communicate to your plastic surgeon what your goals are. A great way to do this is share photos of results you like. Once you've made your goals clear, your surgeon will figure out which implants are most likely to help you achieve the look you want.  Good luck.Dr J