375cc hp or 400cc hp? (Photo)

Question

I'm 4"11 101lb a size 26 jeans fit Im getting silicon under muscle undisaided my Surgen recomended 400cc to balance out my body I have a small weist and a round butty so he sead that would go great with my body I asked more less what it would bring me to he sead a d cup im a full a small b at the moment I'm scared that 400cc hp will be more than a d cup for me would 375cc still give me a full c small d? I know it's not much difference but Shure makes me feel better please help :-/

Joe Gryskiewicz, MD, FACS · Answer

Hi Kaylee,Good luck with your upcoming BA......exciting.  You are correct, the difference between 375 and 400 is less than one ounce.  So either way is fine.  The main thing is you need to have the diameter of the implant fit your dimensions.  You have already discovered that "cup sizes" is not really an accurate way to communicate. I haven't examined you, but I can make some general statements because this is perhaps
the hardest decision for a patient to make, as well as the surgeon. Also see
the video attached to my answer. Balancing the implant to your over-all body shape and tissue cover is
essential.The main thing is to have the diameter of the implant fit
the diameter of your breast "foot print". Cup size estimates can be misleading, but I generally advise patients
that they will experience an increase of approximately one cup size per 200 cc.
You can try on implants in the office by placing them into a special bra.The implant is also flattened somewhat when under the muscle, so it is a
good idea to bump it up a bit. Approximately 50 cc (1-2
oz.) is added to the final volume to account for flattening of the implant in
the partial sub-muscular pocket. Once you decide on a size you like, then add
on about 25-50 cc, because in real life the implant will be flattened slightly
by your tissues.Multiple measurements
need to be taken to fit an implant to your exact anatomy.  Have your
surgeon's office show you the charts of the implant dimensions for the various
profiles of silicone and saline from the manufacturer.  Then you and your
surgeon can piece together the puzzle by matching your measurements, with your
wishes, versus your tissue cover and the available implants to arrive at
a surgical plan.Keep in mind
larger implants tend to have more problems over the years.Since silicone implants wrinkle less than
saline implants, they might be your best bet.You can
also approximate this at home by measuring out an equivalent amount of rice
placed into a cutoff foot of old panty-hose, and put this in your bra.Wear this around the house for a while, and
see what you think.Implant size must
square with assessments of tissue cover, breast diameter, and chest wall width.
Multiple measurements of your chest wall are taken (seven in total). Implant
size selection has been an issue of much discussion. Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape. A photo album of patient pictures is maintained to assist them.
These photos ultimately help in determining where the implants will be placed,
since they can be shifted inside (to provide more cleavage), to the outside, up
or superiorly, and down or inferiorly during surgery. In determining the final
size selection, I always place the highest priority on the preoperative measurements
and potential tissue cover. Then, the patient’s verbal requests are factored
into the analysis.Our average size over
the last 7,000 implants was 350. 90% of our patients wish they
were bigger a year after BA.I t is like your mind incorporates the "new
you" into it's self-image over a period of time. We use
the quick recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick (Flash) Recovery Breast
Augmentation articles from peer-reviewed surgery journals.Be sure
to see only a board certified plastic surgeon (by ABPS - The American Board of
Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic
Plastic Surgery) and or a member of ASPS (The American Society of Plastic
Surgeons). Also, ask if the PS has an established, high volume breast
augmentation practice, performing several hundred breast augmentations each
year. Be sure the PS has been in practice for a while, about 20-years might be
a good gauge.Does the PS offer all
three incisions?Discuss the implant
type (gel or saline), shaped "gummy bear" or non-shaped, smooth or
textured, implant pocket (over or under the muscle) and the "quick
recovery approach."Ask to see
their before and after photos if you didn’t see any on their website.  If
they are experienced, they should have several 100 breast implant patients for
you to view.  I would also recommend that your doctor offer you the chance
to talk to past patients who would be happy to discuss their experience with
you.  You need to feel comfortable, so make sure the environment is safe
as in an accredited surgery center. Also, ask a prospective surgeon if he or
she has ever published journal articles in professional peer-reviewed journals,
which they can provide you.All the
best, “Dr. Joe”

Bryson G. Richards, MD · Answer

Thank you for your question. The difference between a 375 and 400cc implant is so small that if a 375 were put in one side and a 400 put in the other side, you would unlikely perceive a difference. That being said, I would trust your surgeon's recommendations. I recommend the following when selecting the right implant size, profile, and shape:1.Goal photographs to demonstrate potential size
and shape. This gives your surgeon an idea of “the look” you are going after.2.Trying on sizers in the office. Sizer will give
a physical/PALPABLE demonstration of how the implants will change the volume of
your breasts. See yourself in a full size mirror while trying on these sizers.
We have tight fitting t-shirts to wear over the sizers to show how you will
look with the implants.3.Using 3D imaging (offered in my office) to
provide a VISUAL demonstration of how the implants will change your breasts and
the look that you will likely achieve. The software is super cool (CRISALIX)
and actually allows me to select the implant manufacturer and size.

Be open with your surgeon and it never hurts to go back a
second time with a loved one to confirm the implant size before surgery.

I hope this helps.-Dr. Bryson Richards (Las Vegas Plastic Surgeon)

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you.  Preoperative sizing and sizer options is sometimes helpful, if you are able.  Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.  The implants you mention are on the larger side for you, especially with the high profile projection.  However, it is difficult to give recommendations without an examination and measurements along with not knowing your desired shape/goals.  I would discuss this with your surgeon so that both of you are on the same page in terms of your wishes and outcome.  Given your photo, I would expect an excellent result for you.  The 25cc difference would be a minimal appreciable difference - the more important factor is your breast width and skin laxity.  Hope me that this helps! Best wishes for a wonderful result!

Jonathan Heistein, MD · Answer

You are not the only person who has trouble deciding on sizes that are only 25cc different.  There is not much difference between the two.  Imaging technology is one way to see an approximation of what the result might be, but trying on the actual sizes of the implants is another tool that is helpful in my practice.  All this said, if you are worried about being too big, then a smaller implant may look more natural.  You can ask your surgeon to explain some of these details to you, but they are all dependent on several individual factors about your anatomy.  Best wishes.

Sugene Kim, MD, FACS · Answer

Dear kaylee06:In recommending implant size, I consider my patients' anatomy (chest height, weight, shape, existing breast tissue) as well as their desired look.  Please share your "wish" photos with your plastic surgeon. After examining your body and understanding your goal, your plastic surgeon will make a recommendation.Implants come in different type (saline, silicone), shape (anatomic, round), volume, and profile.  Please visit with a board certified plastic surgeon.  Best wishes,Dr. Kim

Brian Coan, MD, FACS · Answer

Hi Kaylee, thanks for your question
on which implant size would be best for you. 
Right now it sounds like you’re considering 375cc and 400cc.  Since there is no way to say definitively
over the internet which size would be optimal for you, take comfort in the fact
that the surgeon uses your unique measurements and is able to provide you with
a general range.  In many cases the board
certified plastic surgeon can best be your guide as they’ve met with you in
person and heard your aesthetic goals. You may consider doing 3-D imaging;
however with nearly all the breast cases we’ve performed, we’ve found patients
enjoy doing a live “try on” session where they actually can “try on” the
implant in a non-padded bra in our office. 
This does not give an exact measurement of outcome, rather it gives a
nice idea of what to expect. For patients who desire a more natural look we
like to recommend the shaped implant. 
For patients who desire a more full, voluptuous look we recommend a
higher profile implant. And remember that all breasts have at least some amount
of asymmetry (we like to say they’re like sisters and not twins).  My very best to you. – Dr. Brian Coan

Jeanette Padgett, MD, FACS · Answer

Thank you for posting your questions and photo.  There is very little difference in the final breast size whether you are using a 375cc implant or 400cc implant.  For you to feel comfortable with the implant size, I would recommend you try on sizers in your plastic surgeons office.  The use of the sizers will give you a realistic idea of what you will look like after surgery.  Best wishes.

Vasdev Rai, MD · Answer

Between two sizes there is only subtle discernable difference.  Remember there is more to an augmentation than just implant size.  Other factors play important role too.  Discuss with your plastic surgeon

David Finkle, MD · Answer

The hardest decision to make with breast implant surgery is the size of the implant.  The most common complaint after surgery is: "I wish I had chosen a larger size!".  So, I would vote for you to choose the larger implant, 400 cc, your body can tolerate it easily.Good Luck!

Bryan Correa, MD · Answer

Unfortunately cup size is not standardized across bra companies so you will likely be a D cup in some brands and a DD cup in others. That being said, the difference between 375cc and 400cc is less than the last sip of coke in the bottom of a coca cola can, so I doubt you would be able to appreciate a difference between these 2 implants - this is another way of saying: have confidence in the surgeon you chose and if the implant selection is down to a 25cc difference it sounds like a concrete plan is in place to achieve your goals! Good luck!

375cc hp or 400cc hp? (Photo)

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