Saline Breast Implant Size Advice

Cup size is a fashion statement....and many people wear the wrong size bra. You have to have some faith in your surgeon with regard to size.

Having said that, by the height and weight you stated, I think you will certainly be in the full C range and maybe in the D range, depending on the bra manufacturer. There are many other factors that would have to be taken into consideration, which would require an exam before I could say much else.

Good luck.

Breast implant size is a very important issue to be discusssed with your plastic surgeon prior to surgery.  There are various measurements that your surgeon should take to help guide the decision making process.  The ultimate volume/size that you can become has more to do with your skin elasticity and soft tissues than your actual preference. Meaning, that although you may want to become a "D" cup for example, if your skin only can accommodate a "C" cup, then that will be your final size.

Patients can try on various sized implants in bras prior to surgery to get a general idea of how they may look. I prefer a more accurate method which uses 3D computerized imaging to show the patient what they may look like with a specific implant placed and imaged on their actual torso. This is very helpful for the patient in simulating their final outcome and takes alot of the guesswork out of which implant to choose. I have been using this for about six months now with great results.

Best wishes,

Dr.Bruno

The difference in size between 400 and 375 cc is not significant and I would highly doubt that this difference is clinically observable.  I would not risk the higher size if you are still unsure.  Remember, this experience should be fun and exciting, not stress-inducing.  You will be happy either way. 

It is not true that implants under the muscle look smaller, at least in the long run.  Most women wish they had gone a bit larger if asked a year or so after the operation.  If 375 was placed on one side and 400 on the other, you'd have to look very critically to see the difference.  Probably 400 cc will be your choice but I would reconsider silicone gel implants.  My patients much prefer them.

25 cc is not a significant difference, so don't kill yourself over it. You really would not see the difference. As for a natural looking breast, as stated, the moderate profile implants give you a much more natural shaped breast than the moderate plus or high profile.
So, depending on the shape you are looking for, the profile will determine that, and of course also make sure you are going under the muscle, as that adds to the "natural-ness" of the look.
Good luck.

Once you see your surgeon for the pre-op consultation, he/she will be able to help you decide which implant size is best for you. Also, know that the saline implants have a range of fill so that a "350" implant can be filled to 380 cc's or a little more. A "375" implant can be filled to 400 cc's, etc. This gives your surgeon some flexibility during the procedure to give you the best possble result. Also, realize that a difference of 25 cc's is less than 2 tablespoons of saline and therfore fairly minimal.
If you are still concerned about it not being the perfect amount after surgery, ask you surgeon about post-operatively adjustable implants.

Many women fret over 25 or 50cc differences in implant size. The fact is, the difference is very small. 375cc though is a large implant. I consider implants that are 400cc or larger as "oversized" implants. 

When choosing an implant, the most important features are the diameter and the projection. For diameter, you want implants that are the same size or narrower than your breast width. Choosing the correct diameter helps prevent the common complaint of the implant "sitting under your arm." Projection depends on the volume desired and the ability of your breast to handle that volume. For most women, moderate or moderate plus implants work best. Higher profile implants are more common when replacing missing breast tissue, such as in reconstruction.

I advise on trying to stay natural. If you want to "play up" the look of your breasts, a pushup bra will do wonders (particularly with implants). 

It may be a good idea for you to bring in pictures of the look you would like to achieve to show your plastic surgeon. This may help him get an idea of what natural cleavage and volume you want while also not going too small or too big. Remember that internally your anatomy is very different, a difference of 25cc will not effect the results of the size. I would not worry too much. Definately emphasize that you do not woatn a fake look and make sure your plastic surgeon understands your wants and needs. For more information, please check out before and after photos of patients. Good luck!

Floridamom2,
The selection of implant size is an issue that I, as a surgeon, deal with every day. With experience, a surgeon learns how to relate the diameter, projection, shape, and volume of an implant to meet the individual patients goals. It does not matter whether the implant is a saline or a gel implant, the process and the judgement are the same.
With years of experience, I know that you cannot choose an implant based on how it feels in a bra. When we use trial bras, the tradition was to estimate approximate size with something that will conform to the breast. The "at home" remedy had been rice in zip-lock bags to augment the breast in a bra you had been wearing, or better yet, the one you hoped to wear.
With sizers or trial implants in the office, I use a very low profile implant that will fit over and conform to the breast. As a surgeon, I want to see how full a patient wishes to look. I want to see the relative look in the bra so that I can choose the correct implant for them in the operation.
Also, I review pictures from all sources, including personal, internet, magazine, and catalogs to understand the look a patient is seeking. Again, in the operation, if I understand the correct look or after result my patient is expecting, I have the best chance of choosing the correct implant or technique and hitting the mark.
I always advise taking time with your surgeon during this planning phase. Show him what you would like, how you feel inside, and follow your instincts. Your surgeon should then know which implant is best for you.
Best of luck.

25 cc's is not a big difference at all. You really want to go with implants that are proportionate with your body frame and then go from there. WIth so many different shapes of implants, the best thing to do is pick the base diameter that fits you, then go with the projection that you want (cup size). Whatever the number is whether it is 250cc or up to 500 cc's it should be OK. This is a choice you make with your doctor.