Should I go with 375 or 400cc silicone moderate implants? (Photo)

I think you'll be happy switching from saline to silicone implants.  What size to go with is a very important consideration.  For patients that want to see a noticeable difference in size from their existing implants, I usually recommend increasing the volume by at least 100cc.  I will typically utilize the existing scar from the original surgery to replace implants- whether it is infra-mammary fold, peri-areolar or trans-axillary.  This way you will not end up with new scars.  Your surgeon should perform a thorough analysis of your body measurements to help in choosing the proper size and profile of implant that will give you the optimal results.  If you are still unsure about their recommendations, ask your surgeon to explain their rationale.  They should be happy to provide this information.  If not, get another opinion from a board certified plastic surgeon.  Best of luck!

Thank you for your question.  Firstly, when doing a procedure with remove and replace, often times the original incision site will be utilized for the procedure.  With regards to size selection, there is very little difference between the 375cc and 400cc implant.  Select the size implant that you and your doctor believe will best achieve your overall desired result.  Perhaps consider trying on sizer implants to ease your mind and answer your question.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV

First and foremost, I would use the same incision that you had before to change the implants so you dont have additional scars.  As for the size, the difference between 375 and 400 is minimal and therefore I would recommend going with 400 so you get the fuller look that you are looking for.

I think you are making a good choice switching from a saline implant to silicone.  That being said, the volume that a saline implant occupies per cc is more than what a silicone implant occupies per cc.  In other words, if you were to have an augmentation of 350 saline on one side and 350 silicone on the other, the saline side would appear bigger.  Thus, you may wish to go over 400 to give yourself more superior fullness and if your goal is to have you breasts appear a little closer then a moderate plus implant would be my choice.  If your surgeon has a range of sizers, you can have him show you a 375 and 400 side by side and you will notice there is not a big difference.  Thus, I would suggest you go to at least 400 if not a little more.  For a simple exchange with slightly larger implants, you should be able to use your previous incision, even if it is around the nipple.  If you had armpit incisions, then under the breast may be better.  Best of luck with your surgery!

Thank you for the question and pictures. You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Ultimately, careful communication of your goals will be critical.
Generally speaking, the best online advice I can give to ladies who are considering revisionary 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 words such as “natural” or "C or D cup” or "fuller but not superfake" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.
I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

As the other surgeons suggested, you need to go 400 - 450 cc with silicone in order for you to notice any difference.  I would probably use moderate plus silicone implants (not just moderate) or even high profile depending on your measurements.  As far as incisions are concerned, I favor the under the breast (inframammary fold incision) for revisions also, but through the nipple is perfectly acceptable also.  If you are still in doubt with your surgeons choice, then I would recommend seeking a few more in person consultations with Board Certified Plastic Surgeons who perform a lot of revision breast surgery.

Dear Joyful2015, In my opinion, you should go with minimum of 450 cc high profile silicone. (the size of 345 cc saline is like having 375 cc silicone.). You would get more upper fullness. By bringing the breasts little closer together, the nipples would be shifted towards lateral which would not be aesthetically in good shape!I agree with the incision under the breast. Good luck,.Saied Asfa

I doubt you will see much difference with the 400cc implant, and you won't see any difference with the 375 when you already have 345cc. If you go the 450cc you might see about 1/2 bra cup increase. Anything less is hardly worth the cost. Also, the saline implants had more projection than the silicone so if you want to keep the same projection you will want the moderate plus or even the high profile silicone product. Have your surgeon write down the current implant diameter and projection, then go through the similar dimensions of the silicone devices and you will see what I mean.