Sizing dilemma! 300cc vs 275cc? (Photo)

Question

Will I see a noticable difference in the width of the implant if I use 300cc moderate profile plus - round silicone gel vs 275cc volume? I'm aiming for a very natural look with the end result being no more than a C cup. I'm 5'8" 150lbs, nursed 3 babies and am currently about a 34A/Bish? My PS says we should use 300cc mentor silicone gel, smooth round MP plus and he uses the dual plane technique to achieve a more natural slope. Any advise is appreciated.

Gerald Minniti, MD, FACS · Answer

Hello,It matters little whether you choose a 275 or 300 cc implant. You will have virtually the same results, which should be very good, with a relatively natural appearance.Best of luck!

Daniel Barrett, MD · Answer

Hi Mishi,Congratulations on your decision to have a breast augmentation! The difference between 275cc's and 300cc's is not a huge difference in most cases. There are a number of factors that will contribute to weather or not you would notice the difference.The most important thing is that you discuss with your PS and make sure all expectations for sizing are clearly communicated.Wishing you all the best!Dr. Daniel BarrettBeverly Hills Plastic Surgeon

Nana N. Mizuguchi, MD, FACS · Answer

You are going to have a fantastic result with either breast implants.  I would stick with your surgeon's advice.  I like the wider diameter of the 300cc although it is really not that much wider.Best Wishes,Nana Mizuguchi, MD

Arko Demianczuk, MD · Answer

Choosing the ideal size of breast implants is always a stressful situation for patients. I would follow the recommendations of your plastic surgeon and choose the 300 mL implants. There is very little difference between 275 and 300 mL.

Richard Chaffoo, MD, FACS, FICS · Answer

It's not really a dilemma as its only 25 cc. A tablespoon is 15 cc, and I doubt if you will really notice the difference.

Tom J. Pousti, MD · Answer

Thank you for the question. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. Online consultants will not be able to provide you with specific enough advice to be truly 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 that your surgery is coming up, I would suggest that you spend additional time 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 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.

Robert Singer, MD · Answer

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: Your individual anatomy, desired outcome, realistic expectations, a
thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breastdimensions which include the width, height, and projection, as
well as chest wall width all need to be considered when choosing an implant.
Trying on implant “sizers” of various shapes and volumes while wearing a tight
t-shirt, bra, or bathing sit at a preoperative visit will help you and your
surgeon choose the optimal implant.
There are no manufacturers' standards for cup sizing in the bra
industry. The cups of a 34 C and a 38 C are significantly different. Cup size
varies from manufacturer to manufacturer and even within styles from any
particular manufacturer. Nor is there a direct correlation between implant
shape or size and cup size.There is very little difference in the ultimate cosmetic appearance between the 275 and 300 cc. implants
Keep in mind that following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do without examining
you, physically feeling the tissue, assessing your desired outcome, taking a
full medical history, and discussing the pros and cons of each operative
procedure would not be in your best interest. I would suggest that your plastic
surgeon be certified by the American Board of Plastic Surgery and ideally a
member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Robert Singer, MD FACS
La Jolla, California

Arian Mowlavi, MD, FACS (license on probation) · Answer

Please note that 300 versus 275cc will not make any appreciable difference in size. Both will fit on your chest; If you are concerned about these two implants, I recommend that you consider getting a breast implant sizing at the office to make this decision prior to surgery.

Joseph L. Kiener, MD, FACS - Account Suspended · Answer

For perspective twenty five milliliters  is not even 2 tablespoons  Remember that native breast tissue will thin with time, particularly if the implant is in the prepectoral position.  Therefore going somewhat larger is usually the better choice.  Remember to trust and rely upon your board certified plastic surgeon in helping you to make this decision. Regards.

Robert M. Grenley, MD (retired) · Answer

First of all, the size difference between 300cc and 275cc is very minimal, just barely noticeable. I assume that you have tried sizers on. If you like the look of 275, then a 300cc implant in you may look more like the 275cc sizer did "on" you...implants under your tissues may look a bit smaller than they did when you tried them over your tissues in terms of projections, so I advise patients who are deciding between 2 sizes to chose the larger one. That is, assuming that the implants will fit and give you the amount of upper pole fullness you seek and not more than you desire. As to the width difference between 300cc and 275cc mentor moderate plus implants, that is a 3mm difference. You ask whether you will notice this width difference. Look at a ruler with centimeters on it and see what a 3mm difference is like...not much. If your surgeon suggested the 300cc implant, I assume they measured your breast width and the 300cc mod + profile implant will fit your breast width. If it does, then I would not worry about the implant width and such a small difference being noticeable to you.

Sizing dilemma! 300cc vs 275cc? (Photo)

Answers (10)

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