Is there much of a difference between 400cc and 450cc silicone under the muscle? (Photos)

Hello,

It wouldn't make a major difference. Guessing that you have about 300g of your own breast tissue, this would be a difference of approximately 5-10% in size.

Thanks for the question. i recommend you  Cohesive Gel - Silicone Breast Implants with textured cover ("gummy bear implants") under the muscle.They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.Respectfully,Dr. Emmanuel Mallol Cotes.-

You will see very little difference between a 400cc or 450cc implant. 50cc is less than 2 ounces. It is about 2 ice cubes or a double shot of liquor. Once the implant is inside of your body, you would probably not be able to tell the difference. I would have your surgeon show you a 400cc implant and a 450cc implant in person. I always tell my patients to err on the larger size, since they always look smaller once they are inside your body. 

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

Unfortunately, the question is far simpler than the answer. Volume (400 versus 450), is far less significant than implant width and projection. Saline versus silicone is also important, as is a traditional "round" versus "anatomical" or "form stable" or "shaped" implant. It is critical that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion to be sure and feel confident. Make sure that your surgeon sees photographs of your "favorites" or ideal. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

The good news is that from your photo it appears that your breasts are pretty and fairly symmetrical, which is always a good starting point. 

Take your time, do your research. Best of luck to you.

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  



Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.



The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.



Best of luck!



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

There's not much difference between these two sizes of silicone breast implants. 50 ccs represents about 3 tablespoons of liquid or about a quarter to a third of a bra cup size. Sometimes reviewing pictures of women similar to you with the different size implants is helpful. That is the process I use with my patients. Further discussion with your surgeon might give you more perspective and be reassuring as well. Good luck. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

You will notice very little difference between these two sizes.  I usually recommend that a patient err on the larger side if they are concerned about looking too big, and the opposite if they are concerned about looking too small.  I suggest that you return to your surgeon's office to try on the implant sizers again and make the decision for yourself.  Best wishes!

A 50 cc difference is about two shot glasses of liquid.. You can try a baggy test to see the difference.