Should I go with 350cc or 400cc saline implants?

Hello,Thank you for your question. My patients find it helpful to try on the implant sizers in the office with a form fitting T-Shirt in order to get an idea of how they will look. Typically, when placed under the muscle, breast implants can appear a bit smaller after you have healed. It may be useful to keep this in mind when you are deciding.All the best

Thanks for the question.I recommend you to send your photos to us to give you the advices you need and want.Kind regards

Thank you for your question.  First of all, why are you going with saline.  That size of implant may result in rippling and the weight will cause droopiness sooner than a silicone implant.  Second, the difference between 350 and 400 cc is just over an ounce and this will be a minimal size difference compared to your existing C.  Finally, adding 350-400 cc to a C breast will make you likely a DD+.  Is this your size goal? That said, try to use silicone gel if you can. The results will be that much better.

Without all views of photos and the benefit of physical exam- it's difficult to answer your question accurately. It is best to go through a thorough sizing process after your measurements are taken. Make sure that you thoroughly discuss everything with your chosen 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

Hello and thank you for your question.  The size 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.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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.

Hopefully your surgeon has some implant sizers in his/her office and this can help you decide which is your desired volume. Once you settle on a volume, you have to decide what "look" you want, which will assist in picking the profile, then your surgeon will help you match those two things up with your chest/breast width. good luck

As most of these doctors have stated, be sure you are seeing a Board Certified Plastics Surgeon.  It is important to develop a trusting relationship with your surgeon.   I'd encourage you to try on the sizers with a tighter t-shirt and sports bra to see how you feel about each size.  I often order multiple sizes for my patients and make the final call during surgery based on what the implant looks like once it is in to best meet he goals of each individual patient.  Be clear and open with your surgeon regarding the look you are hoping for.  Best of luck!

Congratulations on your upcoming surgery!  I don't think you need to worry too much about a 50cc swing.  It ultimately will not be a huge difference, and assuming the implant style is matched properly to your base width, they will probably both look good.  If you are still unsure, you may want to revisit your plastic surgeon to try on sizers again.  As a rule of thumb, the real implants will look a little smaller when they are in the body and under the muscle than the same sized sizer looks tried on over the skin in a bra.  Also, the most common thing patients tend to say postoperatively about size is "I wish I had gone a little larger".  Based on that and your height / weight, I would be leaning towards the 400, but without meeting you or seeing your photos and measurements, that's just a guess.  Bottom line: don't stress out too much over this decision of 50ccs, but do revisit your surgeon to help solidify your thoughts on which size you would prefer.  Best of luck!