Can you help me decide between 330cc and 345cc?

Question

I am 5'3"- 130 lbs, getting Allergan, gel, smooth moderate implants (dual plane). I am currently a 36A and hoping to add volume to my deflated breasts. I do not want to be top heavy nor do I have "boob greed". Trying to decide between 330 cc and 345 cc. Both implants have been ordered and will be there on the day of surgery. I have heard the implants can appear anywhere from 5-10% smaller once inside. Help!

Hayley Brown, MD, FACS · Answer

A 15 cc difference is essentially  3 teaspoons and is insignificant. I would trust your doctor to make the decision for you based on your breast dimensions or size up as the majority of women wish they were bigger after the surgery when the implants drop and the swelling goes down.

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Brian K. Reedy, MD · Answer

Thanks for your question! To be honest, the difference between these two implants is not much. I always advise my patients that if they are torn between two sizes, go with the larger of the two. Best of luck!

William Andrade, MD · Answer

Thanks for your question.  The difference in size between these two implants is only a few millimeters so regardless which you choose, the outcome should be nearly the same.  Your surgeon will be the best source of advice on implant sizing since this is based on information obtained during a physical examination (like breast dimensions, tissue thickness, skin tone, and nipple position).  Your surgeon will be able to help you fine tune your decision.

Matthew Schulman, MD · Answer

There is very little difference in 15cc. This may equate to a 1mm change in dimension, at most. It is honestly more about choosing a size that you are comfortable with, but I suspect neither you or your surgeon will be able to tell the difference. I usually tell people in this situation to choose the large size, so that you won't be second-guessing your decision and wondering if you should have went bigger....when it won't make a difference anyway.

John LoMonaco, MD, FACS · Answer

Well...in my opinion nobody can make a decision prior to surgery regarding a  difference of 15cc, as that is really a tiny amount of volume. What is most important is for you and your surgeon to focus on the "look" you are going after, and let the number of cc's fall where they may within a range you two decide upon.Once in surgery, the left and right breasts stretch out differently., They have differing amounts of skin, breast tissue, and widths in most cases.  Even the consistency can be different on one side vs. the other. You have to trust that your surgeon will deal with those factors and do what is needed to get the results you want.When I used to commit to a specific size in cc's with my patients (20 years ago !), I always felt there was a sense that something "went wrong" when I explained the factors that led to my decision during surgery if we didn't meet the number agreed upon.  I also found myself asking the tissues to do something they should not in order to match "the number" the patient wanted. The real issue was my inexperience and inability to understand that some parts of plastic surgery require skill, judgement, and decision making during the actual surgery, and not everything can be planned down to the last cc ahead of time.

Charles Nduka, MD · Answer

There isn't really much difference between the two sizes. Usually when there are two sizes that would give you the same results, surgeons opt for the smaller ones because it would just be a waste to use a bigger one but end up with the same results. Given the two options it might be better to go for the 330 instead.

Curtis Wong, MD · Answer

as you are talking 3 tsp here... that will not make or break your outcome.  If the size difference was greater, then it would be important to base your decision on what could you tolerate more... being a little bigger than desired or being a little smaller.  Then choose what is best for you.

Ralph M. Rosato, MD · Answer

This is a common concern among my patients. I try to help them by asking this question.Would you be more disappointed by being too large or too small?  I you are concerned about being too large then choose the smaller size. If you are concerned about not being large enough than choose the larger one. The difference between these two implant is so small that many people could not tell the difference. The difference is about 1 mm or less than 1/16th of an inch. Goof luck.

John P. Stratis, MD · Answer

Choose the larger implant.1. The size difference is so minimal that you will not see much of a difference between the two sizes.2. The size difference becomes psychological. If you go with the smaller size you will say, "I should have gone bigger!" If you go with the bigger size you will say, "I could have gone bigger. But I actually did go bigger."DO NOT OBSESS over 15 cc difference (About a 4.5% difference)

Can you help me decide between 330cc and 345cc?

Answers (11)

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