300 over muscle to 285 cc under muscle. Is there much of a difference?

Question

I originally had 300cc high profile over the muscle. I had a capsular contracture, so implants were changed to under the muscle this time around. 285cc high profile. Is there much of a difference? I want to still be a 32d - 32dd

Urmen Desai, MD, MPH, FACS · Answer

You "lose" 50ccs when placed behind the muscle.    I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Daniel Barrett, MD · Answer

Dear catslover,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

Charles Nduka, MD · Answer

It would be difficult to give an accurate assessment based only on description. Implant size will look different on each individual due to different chest wall measurements and skin elasticity. Aside from these, other factors which affect the result of breast augmentation would be your desired result and the technique and skill of your surgeon. Generally speaking, there is not much difference between the two sizes, but with regards to the cup size, it would be difficult to say which cup you'll end up with as there is no direct relation between implant size and cup size.

Robert L. Kraft, MD, FACS · Answer

Placing the implants under the muscle is beneficial for capsular contracture. However, lowering the volume combined with the placement will decrease breast size. You may want to discuss further with your plastic surgeon.

David E. Berman, MD (retired) · Answer

my suggestion if you want to keep a more similar appearance is for you to slightly increase, not decrease the implant size. It is definitely wise to switch them from over to under the muscle.david berman md

300 over muscle to 285 cc under muscle. Is there much of a difference?

Answers (7)

Answer: Implant sizing

Answer: Implant sizing

Answer: Your new implants placed under the muscle may look slightly smaller

Answer: Your new implants placed under the muscle may look slightly smaller

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

300 over muscle to 285 cc under muscle. Is there much of a difference?

Answers (7)

Answer: Implant sizing

Answer: Implant sizing

Answer: Your new implants placed under the muscle may look slightly smaller

Answer: Your new implants placed under the muscle may look slightly smaller

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.