Difference between Motiva Ergonomix 340cc and full 400cc - which size to choose? (photo)

Dear lvsmith,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It appears from your photograph that you have had a breast lift in the past. Due to the scarring and change in blood supply to the nipple/areola, I would recommend the implant be placed UNDER the muscle, not ABOVE.

For cleavage, you will need a bigger implant. The most common complaint after breast implant surgery is that the women wished they had chosen a larger implant size. Go with the bigger implant.

Always consult with a Board Certified Plastic Surgeon who has experience in breast enhancement procedures. Verify that the surgical facility is licensed and accredited to assure your safety.

Good Luck!