Having trouble deciding between 350 high profile and 385 high profile. How much of a difference is there? Is it noticeable?

35cc = 2  tablespoons and a teaspoon--totally negligible difference when distributed over an entire breast. Since each of these is one implant size from the other, they were designed with the idea that this much of a difference is below the threshold of visibility. Larger sizes may have 50cc differences, and the largest implants have a 100cc difference between sizes (all planned to be below the threshold of visible difference). 100cc is still not even 3 1/2 ounces or just about a quarter of a can of soda pop! 100cc might be about a half of a bra cup size, but that depends more on the bra manufacturer than anything else.The importance is that 35cc is truly a insignificant difference. I usually ask a woman just before surgery to do a "mind experiment" with me to help decide such dilemmas. I tell her that in this "deserted island" scenario we have the "perfect" size implants for her, and let her absorb that information. Then, I tell her that they are no longer available (shark ate them), and since we are on a deserted island, we only have one implant size bigger (30 or 35cc difference just like yours), or one implant size smaller. Thus, we have to choose between 2 tablespoons bigger (that you can't really tell a difference) or 2 tablespoons smaller (that you also can't really tell a difference). Then I ask her which size I should use in this make-believe scenario. I stress that there is no "right" or "wrong" answer, but that it helps me decide in the operating room in cases where a decision must be made.I have all implant sizes and profiles available in my accredited office surgical facility, so I am not constrained to using only one of the two or three pairs that are "pre-ordered" for this patient, or one of the few that some surgeons may have "on-hand."This can help make the decision, but I always am concerned that if the answer is "smaller" we might ought to look at the moderate plus implants to avoid the small round coconut look rather than a softer natural look with a narrower cleavage. And if the answer is "bigger" perhaps 385cc is all wrong also, and the patient really wants 450cc implants (or larger)! So goal photographs and sizing in a bra or stretchy top provides additional information. All is helpful in trying to avoid re-operation to place different-size implants.You may wish to read my Comprehensive Guide to Breast Augmentation by clicking on the web reference link below for more information. There is a whole section on sizing. Best wishes! Dr. Tholen

Hello, the difference in size between the two implants you are considering is less than 10%, and when you consider the volume of your breast tissue as well, the final difference in size would be even less regardless of the implants chosen.  If you are having difficulty choosing, I would suggest contacting your PS since they may be able to provide guidance based on your breast anatomy, or ask you to come back for another appointment to try on sizers.

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant
should be equal to or, more ideally, smaller than the width of your breast. The
breast width is a measurement of how wide your breast is at the base, which
should be measured at the level of the nipple. Choosing an implant that is
smaller in diameter than your breast width will avoid the "side
breast" fullness that is often associated with a more artificial
appearance. Other than that, you should choose the implant based on
volume, not on the dimensions of the implant. During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



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