CC difference - why does it look so different when I do the rice test?

Dear lauraleep,
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

Thanks for your question. I really like addressing size selection for breast augmentation. Rice bags can give you an idea of how much volume you want, but it's pretty non-specific. I prefer the use of sizers and three dimensional photographic simulation (Vectra). These methods can make more specific selections which you can actually see.
It is true that 25-50 cc might not make a big difference in many cases. If you have a small frame or small breasts that volume can make a very big difference. The other issue is symmetry. If your breasts are different sizes, augmentation can help achieve better symmetry by using different sized implants. The choice is ultimately yours, Choose carefully.