I got 285cc moderate plus 75% under implants, but would it have been a big difference if I chose the 300cc high profiles?

Question

Its been a month since my surgery. I was scared they would be too large at first, but now I'm regretting not going bigger! Also, if I get them re-done does it still hurt as much as the first time?

Jed H. Horowitz, MD, FACS · Answer

Breast revision with different implantsYou need to change at least 50 cc to see a modest difference in size but the shape will make a bigger difference in being a more narrow base on you chest and more projectionIt will hurt less for most women.

Thomas Fiala, MD, FACS, FRCSC · Answer

The overall size difference between these two listed implants is very small.  The high profile implant would be a little rounder looking and a little less wide (so more of a wider cleavage gap).If you want to change them to a different size, the good news is that the recovery is typically much easier than the first time - because the pocket is already made, and very little extra dissection needs to be done.  So less pain, less swelling and a much quicker recovery.

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question!   The size difference in volume is negligible. However, there may be an appreciable difference between the two for your overall result.  A high profile implant will be more narrow at its base width as well as have greater projection than a moderate  or moderate plus implant of similar volume. Biodimensional planning should be employed during implant placement, which takes into account factors such as tissue laxity, pinch thickness of the overlying breast, and breast width - the last being most important. When employing these factors in breast augmentation, optimal results can be obtained since all of the confounding factors are accounted for.  Fitting the correct implant for the patient with breast width and need for projection to take up laxity is of utmost importance. Hope that this helps!  Best wishes!

David Stoker, MD · Answer

The 300cc high profile implant would be slightly larger and a little narrower than the 285cc moderate plus implants.  Usually the moderate plus implants would be the better choice unless you have a particularly narrow choice.  The difference between those implants would not be great.  You are likely better off not returning to surgery for such a modest change in shape and size.

John J. Edney, MD · Answer

It is very unlikely that you would notice any appreciable difference between breast augmentation performed with 285 cc moderate profile implants versus 300 cc high profile implants.  Normally the patient comes in with implants in place and wants to appear noticeably larger in her clothing and increase of at least 30% of the implant volume is normally necessary.

Tom J. Pousti, MD · Answer

I am sorry to hear about your regrets; unfortunately, the most common regret after breast augmentation surgery is “I wish I was bigger”. The difference between the breast implant size/profiles that you mention in your question would probably not even be noticeable clinically. If you are considering revision surgery, best to communicate your goals with your plastic surgeon. In my practice, I prefer the use of goal pictures during this communication process. If you do decide to proceed, you will most likely find that revisionary breast surgery will be associated with very minimal discomfort compared to the first-time breast augmentation procedure. Best wishes.

Frederic H. Corbin, MD (license restricted) · Answer

There is little difference between 285 and 300 so if you decide to go larger pick an implant with more volume.  As to pain it is usually significantly lessDr Corbin

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Regardless of the shape of the implant 15 cc is a very minimal difference in volume for breast implant.  If you truly want to be larger, in most cases at least 50 cc and more commonly 100 cc of increase is necessary for a significantly noticeable difference after breast augmentation.

I got 285cc moderate plus 75% under implants, but would it have been a big difference if I chose the 300cc high profiles?

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