Need help choosing breast implant size! I'm a small chested 34A. Should I go with 350 or 400cc silicone implants? (Photos)

hello thank you for your question and provided information as well.. based in your question its difficultd evaluted your case with this angle of a picture , its recommended get a consultation with a plastic surgeon to evaluate you.

Hello and thank you for your question and photos. However, I cannot give you an accurate assessment based on images alone. I can tell you that your implant size should be determined by factors in addition to the results you hope to achieve. The amount of your natural breast tissue, the width of your chest and the proportions of your body should all be taken into consideration to ensure your results are as natural as they are beautiful. With that said, my recommendation is to be sure you are working with a board-certified plastic surgeon with extensive experience in breast augmentation who will take the time to truly understand your aesthetic goals. From there, you should be able to work together to find the implant size that works best for you. Good luck!

Without examing you and knowing what you desire your breasts to look like, it is impossible to answer your question.There certainly is a significant difference between 300 and 450 cc. A number of factors must be considered when selecting the correct implant . In my opinion, most patients do not have the knowedge or experience to do that...it is your surgeons job. Communicate your desires to your surgeon, and  hold them responsible for providing a good result.

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
With regards to your specific question, I would not struggle over 50 cc as this will make a subtle difference (slightly more than the volume of a shot glass). Deciding between 350 cc and 400 cc is less consequential than 300 cc and 450 cc. As long as you were approporiately sized, you are likely to be satisfied with either choice.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Dear laurynaubrey24,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

Hello and thank you for your question.  It would be helpful to view pictures of your breasts and know your individual breast measurements in order to help decide between 350cc and 400cc.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Placing implants into a bra can roughly estimate the size but I have found that a sizer should be used with almost every case at the time of surgery to confirm the final size of the implant selected. Find a photo that represents the desired result and let your surgeon help you make the decision that will give you that result. Please select a plastic surgeon board certified by the American Board of Plastic Surgery and preferably a member of the ASAPS, (American Society of Aesthetic Plastic Surgeons).

Hi l.For the most part, there isn't a huge difference between 350 and 400 cc's.  The MAIN  difference between the implants is in the diameter.  Most of the size change is NOT in the projection.So what you should look at is how each of the implants fits on your chest wall.  Which size gives you the side boob and cleavage that you like best?  Too big a diameter and you will have crowding in the midline and too much in the "sideboob" area.  Too small a diameter and the breasts will not look good- too wide a distance in the midline and no lateral fullness (sideboob).sek

Thank you for your question. Implant size depending on your breast measurements, frame size and your goal. In a small individual 50 cc can make a good difference. Best is to try the sizers in your PS office and make sure you and your PS are on the same page. Good Luck

Thank you for the question and pictures.   A 50 cc difference in breast implant volume may create a significant difference in outcome,  depending mainly on the patient's specific anatomic starting point and personal goals.My very general advice in this regard:  utilize breast implants only as big as necessary to "make you happy" long-term,  without having the most common regret ( "I wish I was bigger"). Again, generally speaking, smaller breast implants tend to "wear" better over the longer term.My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
 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 may mean 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 helps. Best wishes for an outcome that you will be very pleased with.