How many ccs will I lose under muscle? (Photo)

Thank you for the question. In my opinion, it is not possible to accurately determine how many CCs the you would “lose” when undergoing sub muscular breast augmentation surgery. I would suggest that you do not make your decisions based on statement such as: “you will lose 50 cc of volume when breast implants are placed under the muscle”. These statements are simply not reliable enough to utilize clinically. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

Beauty is in the eyes of the beholder. Only you can decide what is too big for you.From the point of view of plastic surgeons we advise the size based on measurement of your breast base and your skin fold thickness and tightness of your skin on chest. In my practise , I find that often our calculations give a smaller size than what some skinny , petite women desire. I provide preop sizers to women to wear under the bra, and they select a certain size based on that . If we are going under the muscle, its preferred to choose the size 25-50 cc above the selected size.   If you are skinny and petite  then 400-450 cc may be bigger for you. If you stick to smaller sizes according to your measurements, breast continue to look and feel more natural for very long time . Larger implants can have problems like bottoming out, visibility of edges, palpability etc. Once these things have been made clear, if the woman still wants a certain size then I go ahead and place it , if its technically not inadvisable. In your case , you may consider smaller implants .