Is that true that Implant placed under the muscle ends up looking smaller?

Hi and thanks for your question. Every patient is individual, the same implant can look quite dfferent in two similar patients. Speak candidly with your accredited PS who is the best person to advise you on what size implant will achieve the result you want. If in doubt, go with the larger size your ps suggests. I rarely have a patient say they have gone too big, most if anything wish they'd gone slightly larger! Sub-pectoral implants may look a little smaller/smoother. good luck

The best cosmetic result in
any particular breast augmentation patient depends on a variety of factors,
including: your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit
at a preoperative visit will help you and your surgeon choose the optimal
implant.An implant placed under the muscle will generally look slightly smaller than the trial sizer in front of the breast inside a tight t-shirt or bra.Keep in mind that following
the advice from a surgeon on this or any other website who proposes to tell you
what to do without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros and cons
of each operative procedure would not be in your best interest. I would suggest
you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

Implants under the muscle may seem smaller in some women, but not all.  Nonetheless, I always place the milk ant under the muscle.  I don't think you would see much difference between the 375 and 400 implants, but if you are concerned they won't be large enough, go for the 400's.