Deciding between 400 cc versus 425cc silicone gel implants under the muscle. What do you recommend for my body frame? (Photo)

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame

Hi there, thank you for your question. I also think that you can get 450 cc implants as your chest is wide. But, if you want to keep the look natural, then you can choose 400 cc. Of course, the final choice is yours. Good luck!

The size difference of 25 cc when talking about implants over 400 cc is minimal. If you feel like 400 cc is a bit small, go with the 425 cc and then other side to match. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.

Dear Anaielk,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Good afternoon!
There is hardly any difference between 400 and 425cc, and you do have some asymmetry, so I recommend putting 425cc in your smaller breast, and 400cc in your larger breast, for the best overall results!

Hello, thank you for your question. It is hard to tell without a physical examination, a board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Hello darling,

Sorry for telling you this but the decision its only up to you. The difference is minimal so, its totally up to you.

Just make sure you get into surgery with a board-certified plastic surgeon.

Dr. Luis Mejia.

Thank you for your question and photographs.  I think you are starting from an excellent position and should anticipate a nice result.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss your concerns with your board certified plastic surgeon to ensure that the implants you decide upon are the right ones to meet your expectations.  Overall the difference between the two sizes is only a few teaspoons and will not create a significant difference between.  Best wishes!

Thanks for sharing your photos, it would be difficult to say which would be the best option without seeing you for a consultation but personally I love the use of Spectra, we have it and it allows you to try on different sizes of implants virtually to get as close as possible to see what the result could look like!

If you cannot decide between 400 and 450 cc's, why don't you choose 425 cc's and splint the difference. I do recommend going under the muscle which gives nice upper breast fullness.