Would I see a difference in 350cc and 375cc silicone?

Question

Hello, I'm 5'7", 135lbs, athletic build. My DR. Advised 350cc moderate under the muscle implants. Would I see a difference in 350cc and 375cc??? When I tried on the 350cc sizers with a tshirt they looked great. Is that how they will look or will they shrink a bit due to submuscular placementt??

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. In my experience, when a patient is struggling to choose between two different implant sizes which are so close, going for the slightly larger one is a good idea. The difference is very slight and patients do commonly report that they seem smaller after surgery than they did when sizing.All the best

Roger Tsai, MD · Answer

Great question!  Often times patients have difficulty deciding between two sized implants.  What you are describing is only a 25cc difference or < 7% size difference between the implant - and actually less than that if you factor in the volume of your native breast tissue.  So it is a very minor change and for most patients it is hardly noticeable, unless you are extremely petite or have a very small chest diameter.What I ask patients with this dilemma is this: would you rather be a little bit larger or a little bit smaller if you had to pick?  You really will not go wrong with either implant size.  But this is a discussion you should have with your surgeon as he/she will be able to guide you and together you can make a decision.Best of luck and hope this information helps!- Dr. Roger Tsai

Jaime S. Schwartz, MD, FACS · Answer

I appreciate
your question.

The best way
to determine implant size is based on chest wall measurements that fit your
body.  Once we determine that we can choose the profile based on what you
want or need to achieve.

Implants
under the muscle, there is less risk of capsular contracture.  Anatomic
implants tend to give a more natural shape with more nipple projection.

The best way
to assess and give true advice would be an in-person exam.  Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative
breast surgery.

Best of luck!

Dr. Schwartz

Gerald Minniti, MD, FACS · Answer

Hello,I am an advocate for in office sizing; I think it is the best way to determine the implant volume necessary to achieve your aesthetic goal, even better than the 3D photographic morphing devices.  As a surgeon, it is my job to interpret the results of the sizing, that is to say I need to be the one to determine what size implant will actually give you that appearance you're seeing in the mirror with that sizer. It is too simplistic to say that 'going under the muscle makes you loose size'.  There are so many variables that impact your final appearance after breast augmentation surgery.  This is why I prefer not to tell the patient the volume of the sizers she's trying on. It becomes too confusing for her.Just like I'm an advocate for sizing, I'm also one for biodimensional measurements. In fact, the information gotten from these measurements potentially supersedes the results of sizing. These measurements will objectively and reproducibly determine your bodies physical capacity for an implant. Ignoring this information and placing implants too large will put you at much higher risk for complications and reoperation.I'm not quite sure exactly your question, but there's not much of a difference between 350 and 375, except when placed in a  'head to head' comparison, and then a very minor difference can be appreciated.  If you're asking if getting augmented with these sized implants will be noticeable, well the answer is of course!Best of luck!

Whitney A. Burrell, MD · Answer

Something to keep in mind is that you can always oomph up a cup size with a push-up bra, but you can't "down-size" overly large implants.   I stress the importance of having some flexibility of one's look when I consult with my breast augmentation patients: busting out of your professional attire is not optimal.  Another thing to remember is that 25cc is a tablespoon.  That rarely has any notable difference in the breast contour.  Finally, breast implants always appear "smaller" or more subtle when they are actually placed under the muscle.  That is one reason we use the VECTRA machine in my practice. It takes a 3D photograph of the patient and can offer a reasonable simulation of what she will look like when the implants are in place.   But I refer to my first point: as you are a thin, athletic woman, a 350cc implant will be plenty of enhancement!  Best of luck to you!

George John Alexander, MD, FACS · Answer

This is a question that many patients
struggle with when choosing their implant size prior to Breast Augmentation
Surgery.  In my experience, patients would
not notice a difference between 350cc and 375cc when the implants are inside
their breasts. The difference in the amount of silicone gel is only about 2
tbs.  If your surgeon feels you may use
either one and you like them both, I generally the slightly larger size in a
situation like yours.  Good luck with
your breast augmentation and I hope you enjoy whichever size you choose.

Josh Waltzman, MD, MBA · Answer

I don't think that most people would be able to tell the difference between 350 and 375.  Trying on implants in the office is a good idea, but it only gives you a rough estimate for the size.  The submuscular placement will help create a more natural a sloped upper pole, but the overall volume of the implant will still be the same.  Best of luck!

Malcolm A. Lesavoy, MD, FACS · Answer

You will not see a difference between 350 and 375 cc implants either by holding the actual implants or after they are implanted.  Usually there is a "difference" when 50 or 75 cc change is made.

Richard Chaffoo, MD, FACS, FICS · Answer

Probably not as this represents less than 2 tablespoons of volume in the big picture. The aesthetic result will be nearly the same with either sized implant.

Tom J. Pousti, MD · Answer

Thank you for the question.  Online consultants will not be able to provide you with specific enough advice to be truly helpful. Much will depend on your specific anatomic features; for example, a 25 cc difference may be noticeable on a very petite patient but not on a patient with a larger frame. Therefore, the advice you receive online will not be specific enough to be very helpful.

Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

Given your concerns/questions, I would suggest that you spend additional time (as much as necessary to make sure that you are both on the same page) communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.

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.
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. For example, I have found that the use of know 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, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.I hope this (and the attached link/video, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Would I see a difference in 350cc and 375cc silicone?

Answers (14)

More Breast Implants Questions

Can getting a 750 cc saline implant and overfilling it to 950 cc get me the double D look that I want?

Dent on bottom of areola. What's causing it? (Photo)

I have mastitis with an abscess post miscarriage. I am 6 months post Aug. Will my implant be ok?

Is 590CC Ultra high too big for my current breast width?

Very large breast implant in a 11cm BWD woman. Any suggestions?

Is this sloshing sound in my silicone implants normal so soon post op?

WE SEND PRETTY
EMAILS