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

I'm a mom of four kids. My breast have been deflated ever since I stopped nursing. My goal is to gain a full look again (about a C cup) but maintain a natural look. I am 5'5" 145 lbs but lean/ muscular look. I am stuck on chosing between a 275cc and 300cc silicone smooth round moderate profile under the muscle. Which would work best for my desired result?? Although the 275cc seems like a good fit, it may appear smaller once placed under the muscle. Will 300cc be too big? Help. Surgery aug. 30th!

Doctor Answers 13

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

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Your best guide will be your surgeon.  In general, I recommend that patients go with an implant that seems just a little bit too big when its in a sports bra.  Putting the implant under the breast tissue and usually pec muscle will blunt the projection of the implant a bit.  Also, over 25 years in practice, I have had a number of patients wish they had gone with larger implants but  patients who think they should have gone with smaller implants? I can count her on one finger!

Seattle Plastic Surgeon
5.0 out of 5 stars 77 reviews

The right size for you

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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

Implant Size Choice

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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

Breast augmentation

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Hi and thanks for your question and posted photos, It is very useful to try external sizers in your in office examination, with them you will see something close to wht you will look like after surgery. 275 -300cc implants probably will not give you the wished result. Your surgeon must follow your breast measures.Best wishes.

Hector Milla, MD
Mexico Plastic Surgeon
4.5 out of 5 stars 35 reviews

The election of the right implant

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Hello,  thank you for your question and photos.   After seen your photos I will tell you that neither 275 cc or 300 cc will get you to a C cup.  Your actual breast volume is not that much and your will have them placed under the muscle.   You I will suggest you to have a bigger implant near the 350 cc range in order to have a similar outcome of your wish pictures that you're sending.  Best of luck.

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 99 reviews

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

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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!

Would a 275cc or 300cc silicone implant under the muscle would achieve my desired goal?

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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.

No difference between 275 and 300 that you could see

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The only difference between these 2 implant choices is that the 300's are a few millimeters wider than the 275's. The volume difference is about 2 Tbsp so your eye can't see the difference. Discuss if a 300 will fit you with your doctor who knows your proper chest width measurements.

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

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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.

Breast Augmentation - Size Selection

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Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. 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 breast surgery. Hope this helps and good luck with your surgery.

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.