Can't decide 450cc or 500cc?

My surgery after two days,, I'm soooo excited but still can't decide how many cc's I should get ;( i have flaaaaaaat chest I'm 25 5'6 170 weight, 1 child, i started with 450cc and it seems good but I'm afraid that I regret for not going bigger. Anyone with similar shape of my body

Doctor Answers 9

Can't decide 450cc or 500cc?

Thank you for sharing your question and congratulations on your upcoming surgery.  Assuming your surgeon has cleared both sizes based on your breast dimensions and goal outcome, I would recommend trying on several of the implants in your surgeon's office so that you can have a better visual representation as to what the two look like in clothing and choose the one that you like best.  


Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

Can't decide 450cc or 500cc?

Both are large implants and there is not much difference. The key issue is your breast base width which your surgeon should have measured. Check with your surgeon to see if your base width will accomodate the additional 50 cc"s.

Breast implant size

Both of these implants are fairly large, but with your 5'6" height you can probably handle them. If you are undecided then go retry on the implants again. If still not sure between these two then try a 475cc.  Good luck.

Breast Implants/ Breast Augmentation/ Anatomic Gummy Bear Implants/ Silicone Implants/ Breast Implant Revision Surgery

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. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

Silicone will give you a fullness at the top (upper pole fullness).
Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.

Anatomic gummy bear implants might be a good choice to give you volume.
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.

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
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute
#RealSelf100Surgeon






Implant selection

I think that you need to be seen in person to determine what implants size would be best for you, This is based upon your goals and overall anatomy.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Best breast implants for me?

Thank you for the question. Online consultants will not be able to provide you with specific enough advice to be truly helpful. 

Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
Given that your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) 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. For example, I have found that the use of know words such as “natural” or "D or DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link/video, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Both are likely to work

If your plastic surgeon thinks both of these would be acceptable implants for you I agree with the other plastic surgeons that both will likely look great!.  You might ask your plastic surgeon if they would let you take a pair of 450 cc and 500 cc sizers home for a trial.  Buy an appropriate sized bra and try on multiple outfits.  See what makes you feel the most comfortable!  Good luck with your choice.

Daniel Sherick, MD
Ann Arbor Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast aug 450cc vs 500cc

Typically volume is only one of the considerations in choosing the correct breast implants. Base which is also important in terms of making sure theimplant dimensions fit your breast dimensions . Typically however a 50cc difference is typically imperceptible and therefore I usually tell  my patients that if they are undecided to simply choose the slightly larger size mostly for the psychological aspect so that in the future they don't regret their decision. Good luck. Hope this helps.

Richard Hainer, MD
Rochester Plastic Surgeon
4.4 out of 5 stars 18 reviews

Can't decide 450cc or 500cc?

Focus on the look not the cc or cup size. Patient's often regret decisions based on extraneous factors as you may end up with suboptimal result. Bra's vary from store to store, and cc's mean nothing in isolation. You should be measured during your consult and offered implants within a 5mm window of those measurements in multiple styles. For what's its worth, in my experience a dimensionally sound mod+ profile tends to go from an A+/B- to the magical full C or small D. A high profile (or SRF) would be about 100ccs larger to maintain the same base width and more like a Full D but VS will call it a DD or DDD, particularly in a 32-34. Ultimately, try on the different styles and look in the mirror. When you see the look you like, pick that style! This requires a consult, exam, measurements and sizing with a board certified plastic surgeon. My patients select the implant style and their chest dimensions dictate the number of cc's. I make specific recommendations to each and every of the augmentation patients I see annually based on: 1) dimensional planning 2) expressed goals 3) amount and quality of tissue to hide the implant. I have included a link with my explanation of the different implants and what to expect from your consult as well as hundreds of before and after photos to see what change implants of a particular size deliver. Best of luck. #drfeldman #BancroftFeldman #breastaugmentation #sugarland #HoustonTX

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.