Should I get 320cc or 340cc?

Please see the attached video which discusses picking the perfect implant size using a combination of breast implant sizers and 3-d imaging.  Good luck!

The exact choice of size that will work best for you is an important decision that you should make with your board certified plastic surgeon. 3D Vectra imaging and simulation, the Mentor gel sizing system, rice filled implants at home in your bra, and bio-dimensional analysis are all methods that can be employed to help you come to a decision. Because size is such an important component of decision making in breast augmentation our office employs all of these techniques with each patient to ensure the highest rate of satisfaction possible. Good luck with your decision!

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

Thanks for your question.  As others have mentioned, a 20cc difference is no difference at all.  I'm by no means advocating this but you could put a 320cc implant on one side and a 340cc implant on the other side and you would not be able to tell the difference (assuming your breasts were starting out the same size).  Do not let this decision over a 20cc difference stress you out.  Best of luck to you on your upcoming decision and surgery.  

As other surgeons have already noted, 20 cc is typically barely visible and won't make an adjustment in overall bra size.  I prefer to keep implants no wider than the current breast diameter and perhaps that can help you make your decision.  The complaint of 'feeling my breast in my arm pit' is less when you select an implant within the confines of the current breast.  Also, there may be less tension placed on the skin and breast tissues if you stay with an implant that respects that current breast width.  Overall, these are very similar volumes.  Good luck to you!

I honestly doubt that you would be able to tell a difference between the two.  Since your stated concern is being too big, I would select the smaller of the two.Good Luck!

Hello and thank you for your question. I will tell you that the diifference you are talking about is negligible. It is 20cc.  I tell patients not to get caught up on the number. Try on the sizers and see what you like when you look in the mirror. The real difference can be more appreciated when you compare 100 cc difference. Do you want 300, 400, or 500? I concur with the other physicians that answered your question, most patients say they wish they had gone larger. It is unusual for patients to say they are too big.  Best regards.

Thank you for your question.  The difference in measurements between your two implants is very small and would not be noticeable in most instances.  I would recommend you go with the implant that you liked the best and looked the best.  That being said most breast augmentation patients say that if they could change something, they would have gone with a larger implant.  Hope this helps.

You are not going to notice a huge difference between the two sizes. Having said that, if a patient complains post op, it is usually that they went too small.... Best, Dr. Nazarian

Hi, OinksThere is not much difference between 320cc and 340cc.Although I do not like to talk in term of bra size, 320cc and 340cc would not give you larger than C cup.Please consult a board-certified plastic surgeon and convey your desired goal.After examining your body (chest width, height, and breast tissue) and understanding your goal, your plastic surgeon should guide you to the right implant size.Best regards.