Breast size 360cc or 400cc?

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan.
With regards to your specific question, I would not struggle over small differentials in size as they are unlikely to "make or break" a result (40 ml is less than a shot glass).
As always, discuss your concerns with a board certified plastic surgeon.

Dear EM1025,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for your question! I think a 360cc breast implant would be a great fit for your body frame. I recommend that you have an in-person consultation to go over sizing and discuss any concerns. Best of luck!

Picking and committing to your future implant size is a big decision. I highly recommend seeing a Board Certified Plastic Surgeon in person. At your consultation they will be able to examine your breasts shape and size, and let you try out sizer implants. Then you can go over what look & size you want to go for and your surgeon can tell you the size and style implant it will take to get your goal reached. I always recommend patients bring in 3 photos of breast they think are perfect and would like to achieve. I then examine their breasts and let them know if the look they desire is achievable and how I can help them achieve it. If you’d like to come for an in person consult here at Smith Plastic Surgery, feel free to call 702-838-7055

Choosing an implant involves several decisions. Besides volume you must decide on type, style, and profile. This is where your board certified plastic surgeon comes in. She/He will measure your breasts during a consultation and discuss your surgical goals with you. From there potential implants will be discussed to determine which is the best for you. We welcome you to visit us in our Houston office to help you find the look you want!

I would suggest meeting with a board-certified plastic surgeon, being measured and examined, and trying on the range of sizes that best fits your frame and tissue. Then, you can actually see what you like.

Hello! I am Dr Sealtiel The size depends on how comfortable you feel, both sizes are good options but the choice is yours