Saline to Silicone - Do I Need to Go Up in CCs to Have the Same Result?

I don't think there is much difference in the appearance between the same volume silicone and saline implants. The choice has more to do with the amount of soft tissue coverage. If the breasts are far apart now and you have only skin over your breast bone (sternum) It is not possible to give you cleavage. I agree with your surgeons choice.

To get more cleavage, there are a couple of factors to consider:

1)  would a wider base width implant work better for you,

2)  can the pocket be opened up medially any more,

3)  does the pocket need to be closed up (plicated) laterally

 

It's really not about the CC's, although sometimes it works out that way.  Speak to your surgeon about these concerns.

All the best,

If you are switching from saline to silicone, 50cc difference in volume is going to look the same to you.  I think that you should consider a minimum of 100cc difference, ie: 400cc like you stated.  I would be hesitant if I were your operating surgeon to offer you an exchange with only an increase of 50cc as I feel you would be highly disappointed in the results. The volume of fluid is spread out over the entire implant, and will be such a subtle change if you are increasing only 50cc; even 100cc sometimes can be quite subtle.  And going from saline to silicone, the silicone gel implant is a softer implant, so naturally tends to look a bit smaller than the saline for the same volume size.  If you were unsure, in my practice, I would offer you to have your surgery under a local anesthesia and placing sizers during surgery so you could see for yourself.   I would put a 350 on one side, and a 400 on the other side, and sit you up to see for yourself prior to making the final decision on size.  I would also have a few other sizes available, just in case you wanted bigger!  Good luck!