Would a 275cc or 300cc silicone implant under muscle be best, for achieving my desired result? (photos)

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants

Hello,Thank you for the question and photos. These implants are very similar and the size difference slight. In my experience most patients do not regret choosing a slightly larger implant when having debated between two. They do often appear smaller once inside your tissues.All the best

Thank you for your pictures and questions. Let me first say that all you need to do is take a deep breath and relax. If you have narrowed it down to those two choices, then you are going to do fine and be happy with either. You look like a good candidate for surgery and you should have a nice result. When you really think about it, the 25 cc of volume you are debating is 0.85 ounces, less than 10% of the volume of the implant.....such a small amount. In the end, it will not change the result that much. That being said, I would tell you that if both of the implants fit your chest measurements and are options for you, go with the larger implant. Patients almost never come back complaining they went "too big."Best of luck!

Thank you for the question and photos. Based on your photos only, I believe either implant size will give you a good result. If both implants fit your measurement, then I would choose the larger one. The volume difference is less than one ounce. Wouldn't lose sleep over it. Good luck with your surgery.

Thank you for your question. It's difficult to give sizing advice online, without an in person examination, measurements, and most importantly getting a sense of your overall size goals.It's important to remember that 15cc = 1 tablespoon, so the actual volume difference between the 275cc and a 300cc is pretty small. Based on your photos you have a good starting place for augmentation surgery, and guessing that you will be happy with either size. Your correct that the muscle pushes the implant down slightly and makes it appear slightly smaller.Congratulations on your upcoming surgery.