Would 335cc or 275cc look natural on me? Is 65cc difference really a lot? (Photo)

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.

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants

Breast Appearance – The final appearance, shape, and movement are not exactly the same as normal breasts. The surgically enlarged breasts do not move in the same way as normal breasts. They tend to be firmer. The contours are usually somewhat different than normal breasts. In some patients these discrepancies may be rather noticeable. Although every effort is made to place the implants symmetrically, complete symmetry is rarely achieved. Immediately after surgery, the breasts are swollen and firmer. The final shape and size is approximated after 2 to 3 months, but up to one year may be required for the end result.You will want to take your questions and desired results to local surgeon for consultation, and make sure you seek out all the information on implant type, size and procedure details to reach your results. Best of luck to you, and be sure not to hold back at all with your questions or concerns.

Thanks for the question. In my practice for cases like yours I prefer to use the Cohesive Gel - Silicón Breast Implants with textured cover ("gummy bear implants") with a volume between 350-400. They are quite safe and aesthetically best as they give a firmer consistency, better projection and natural appearance.Kind regards 

Thank you for the question. It's impossible to answer question fully because implant sizing is determined by your goals and breast measurements. A 400 cc implant, with your breast width measurements, would require a high, or extra high, profile implant. This will give a "fake" look. If you desire a "natural" look then you'll have to select a moderate, or moderate-plus, profile implant. It really depends on what your goal look is. I would communicate carefully with your plastic surgeon so that they can advise you.

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

For you, and for many women, technique adapted for your chest and implant dimensions are much more important than small differences in size.  60cc is four tablespoons.  The front of your ribs face straight forward, so implants should be broad enough and placed laterally enough to add some lateral curvature at breast level to your silhouette.  If they're placed too far laterally though, nipples will appear eccentrically and medially displaced, also undesirable.  Distance between nipples and bottom of breasts is short, so must be expanded and rounded.  Of course, you're thin and lean, so too globular an implant shape will appear unrealistic, but volume in and of itself is less important to your result than other considerations.  If you need 400cc for adequate width, it's not too large.  A narrow full profile 400cc implant will not offer a "natural" result.

Hello and thank you for your question. You are a great candidate for a breast
augmentation.  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.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It is difficult to know what size to tell you because I don't know what size bra you wear now and what size you want to get up to. Based on your comment of wanting to still have that "lean look", I think the 400cc volume will make you bigger than you want so I would go with the smaller sizes. You can always upgrade if necessary. The bigger the implants get, the heavier they are as well. It may be helpful to try on the silicone trial sizer implants again before your surgery to confirm your choices.  Sixty-five cc's is enough to make a noticeable difference between the implants. Good luck with your surgery!

Thank you for sharing your question and photographs.  Though smaller implants always afford the opportunity of maintaining a more natural look the best determination of implant sizing should take place at the time of surgery with your physician using a series of gel sizers to determine the best volume match between your breasts.  65cc amounts to a little over 2 oz spread over the size of the implant so it is not a huge difference, especially if their is a chest wall asymmetry present.  Voice your concerns to your surgeon, they should be able to help you make the best decision based on your goal outcome.