375cc hp or 400cc hp? (Photo)

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.

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”