375cc and 400cc felt very different with sizers. But you all say it makes no real difference?

Think about it this way.  You already are starting out with a certain amount of breast tissue.  Let's say, as a guess, that you have 400 cc of natural breast tissue.  You are now adding 400 implant.  That's a total of 800 cc.  When dealing with 800 cc, a difference of 25 cc accounts for only 3%.  These numbers are guesses, but you can see, the 25 cc, most likely, represents only a few percent.  This is why it's hard to tell the difference.  During the operation, when injecting into a temporary sizer, even while watching it happen, the increased from 375-400 is quite minimal.  Generally, is better to err on the side going too large, as this is the most common regret, that a patient wishes they went bigger.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

     25 cc is a very small amount to be sure.  You are also correct that there is a blunting of implant height by placing the implant within the body.   So you may want to go with the larger implant due to this.

Thank you for the question.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.

It will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.







Generally speaking, the best online advice I can give to ladies who are considering 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 know words such as “natural” or "full C, small D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.







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. I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.