Is it a big difference between 290 cc round implants to anatomical 380ccs? Both high profile under the muscle (photos)

The difference between the 290 and 380 cc implants is width. The projection difference is only 1-2 mm. Thats only if you compare round implants. The anatomical implant has a wider base and less upper projection. If you want to retain upper fullness, I suggest a round Sientra gel implant. The anatomical implant will result in more lower fullness and less upper cleavage. It is best to sit in a detailed one on one consultation to narrow it all down. Thank you.  

hello  socal143This should help you decide on the right size
32A to 32C needs about 250-275cc34A to 34C needs about 300-350cc36A to 36C needs about 350-400cc#anatomical #undermuscle

Thank you for the question. The upsizing of breast implants you are considering will make a noticeable difference; the most important question is whether it will make the specific "type" of difference to achieve an outcome that you will be pleased with. This question cannot be answered online.
Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) may be necessary to achieve the outcome you are looking for.   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.  Show your plastic surgeon what your goals using as many visual aids as possible.   As you can imagine, terms such as "natural" or "more fulness" can be interpreted differently by different people. This additional communication will go a  long way when it comes to helping alleviate your anxiety prior to proceeding.
 
Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery 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. I have found that the use of words such as “natural” or "up a cup size” 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 who makes the bra; therefore, discussing desired cup size may also be inaccurate. 
3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this helps. Best wishes.