Is there a big difference between 350cc and 400cc?

Question

I'm 5'4", 120 lbs. My base width is 13 cm x 13.4 cm. Rib cage(under breasts) is 28" 33" (arm pit to arm pit). I originally decided on 350cc but my PS said I can go up to 400cc. I breastfed 2 kids and my breasts are a little droopy. Thank you!

Ira H. Rex III, MD · Answer

To put this in perspective, 50 mL is less than 4 tablespoons. In other terms, it is a 14% increase in volume from 350 up to 400 mL. It is likely this volume would make a visible difference in a woman starting with very little breast tissue, but this volume becomes less and less significant when a patient presents with increasing amounts of breast tissue and/or widening of the breast base dimensions. Using sizers can be very helpful, although in certain circumstances differences in volume of 50 mL is difficult to visually detect. I ask my patient to put their hand on one side and then another when two different size implants are in, and this can make the difference in volume much more obvious. Also, you may get a better sense of a difference in size wearing a tank top. As always, the decision regarding sizes is best made between you and a board-certified plastic surgeon.

Martin Jugenburg, MD · Answer

Without an in person examination it is difficult to provide an accurate assessment. There is not a large difference between 350cc and 400cc, 50cc spread throughout the breast. Best of Luck!

Shlomo Widder, MD · Answer

Dear madam,     Front and side view pictures would have been very helpful.  You did provide , roughly, your chest circumferemce measurement , but not the breasts circumference measurment. Let's assume that you are 32 small A cup. 350 cc implants will bring you to 32 C+ cup size and 400 cc implants will bring you to 32 smal D cup size. You have to decide what size will make you happy. Most of my Asian patients ( there is very large Asian community in Washington DC  metropolitan area ), go for full B cup size or small C cup size. However, every person is unique , so the decision about the size, ultimately, falls on your shoulders. As far as your droopyness, it depends on how significant it is. It might be that for optimal result you will benefit from mini lift ( donut ) that will give you beautiful perky breasts . Always, consult with board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures to make sure that they are numerous, consistent and attractive. Check also the 'realself' reviews for positive patients experience. which provides important information on the surgeons.

David C. Yao, MD, FACS · Answer

Thank you for asking. A 50 cc difference between implants may be a small noticeable difference in some patients especially if the patient is petite. Your plastic surgeon should counsel you on what looks and fits best with you and your frame. Consideration for lifting should be made if the skin envelope is excessive. A good consultation is key. Best wishes.

Josh Olson, MD · Answer

I think 50cc is a noticeable difference but I think the important question is how did you come up with 350. If you used sizers and liked 350cc then your plastic surgeon may have seen many patients say they like one size using sizers but ultimately wished they had gone larger. 13cm is large enough to accommodate either size but it also depends on how the base diameter was measured. Ultimately if you trust your plastic surgeon and are comfortable with his before and after photos that look similar to you than you probably can't go wrong either way. Good luck

Michael Law, MD · Answer

I do think there is a big difference in 350 cc's and 400 cc's. Small changes with regard to size, shape, and position of the implant can make a big difference. Attention to detail is what makes the difference in the best possible result in a great breast augmnetation result, particularly if the goal is a natural looking result.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question, based on your description 50 mL difference is likely to make you just a small bit larger typically on the upper pole of the breasts.  If you do not find the larger size offensive, I would recommend going with the larger size as most patients undergoing breast augmentation who require a revision regarding size, wished they had gone with the larger size. Best of luck.

M. Dean Vistnes, MD · Answer

Your best bet when you are trying to decide on implants is to try on sizers of the exact implant you are considering inside a very tight sports bra. This will give you a close idea of what you will look like. More importantly the dimensions or width of the implants need to match and fit your frame and body. If you are working with a board certified plastic surgeon with an expertise in breast augmentation he or she should be able to help you with this in their office. Good luck! best, Dean Vistnes, M.D

Sanjiv Kayastha, MD · Answer

A 50cc difference is usually very noticeable in all but those patients starting out with large breasts already. You should try on different size implants to give you a rough idea what they look like. Most importantly you should discuss your goals with your plastic surgeon. After consultation and an exam your surgeon should be able to guide you regarding which size implant would best help you achieve your goals.

Steven Wallach, MD · Answer

A 50 cc difference in implants is barely noticeable. You can do a baggy test and thie will give you a rough idea.  Best of luck.

Is there a big difference between 350cc and 400cc?

Answers (13)

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