Given your body habitus, it does not seem like 400 cc will be too much for you. You probably will be a very full C or D cup. The difference between a 375 cc and 400 cc implant is only 7% and typically only one size difference in the standard prefiled silicone implant dimensions. The other important factors are your breast soft tissue thickness and any history of pregnancies/breast stretching which has a lot of impact on your tissues capacity to accommodate a larger implant. Your pre op consulting with your plastic surgeon should include extensive sizing discussions including the use of sizers, review of multiple patient pre/post op photo examples ("inspos") and possibly photo imaging all of which help to assure optimal sizing.

Published on Jul 11, 2012

There really is not much difference between a 350cc implant and a 400cc implant—you are talking a few tablespoons. Whatever size you are with a 350cc will be almost the exact same with a 400cc, especially with a taller frame. If your board-certified plastic surgeon thinks 400cc is the correct volume, then I would go with their recommendations.

I hope this helps,

Christopher Pelletiere, MD

Published on Jul 11, 2012

Thank for your question. It typically takes about 200-220 cubic centimeters roughly to make 1 full cup size, so 400 cuic centimeters is 2 cup sizes bigger than what you currently have prior to surgery. 350/375cc is only one to two sizes smaller than what is being recommended, which is only a 10% difference. If you are hesitant with your surgeon's selection, you can always ask to try the implants on (375 and 400) to see which one feels the most comfortable for you.

Published on Jul 11, 2012

Best thing to do is communicate with your surgeon. I ask my patients to bring in pictures of breast sizes that they like and even dislike. I review these photos with the patient and discuss if it is reasonable with their body type, size,etc.. I take these photos to the operating room with me and when the patients is on the operating room table, I use temporary sizers to view how different cc's look on the patient. I sit the patient up on the operating room table several times and compare them with the photos that they have chosen. When I see that I have achieved the patient's goals, I remove the temporary sizers and put in the implants. There is no guess work. I have all sizes from both manufacturers available to me at all times. This procedure takes more time but gives more exact results.

I hope this helps.

Tom Pousti MD
www.PoustiPlasticSurgery.com
619-466-8851

Published on Jul 11, 2012

400cc will increase your cup size by about three. The difference between what he suggests and what you want is not that great. If patients are unhappy after their surgeries, it is usually because they feel they are too small.
Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
1441 Avocado Avenue, Suite 307
Newport Beach, California 92660
949.640-6324/1.888.234-5080(Ca)
FAX- 949.640-7347
Website: http://www.surgery-plastic.com
Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)
Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors
Plastic Surgery- 2005-2017
President,American Society of Bariatric Plastic Surgeons
www.ASBPS.org
Organoderm Skin care/ScaRxTape

Published on Jul 11, 2012

It is very difficult without seeing you in person to know if the implant sizes you mentioned are too small for you. Keep in mind that the size difference between the 350 cc and 375 cc is minimal. Implant size selection depends on your unique measurements, so what may be too small for one woman may be perfect for another. Lastly, the choice of implant size is also a matter of taste. What you think may be too small, another woman may think is too big. We have a device called the Vectra 3D imaging system that shows you what you will look like with any implant. Our patients are very happy with the choice of implant they make when using this system.

Published on Jul 11, 2012

A shot of tequila is 45cc, so you are not differing much. There is very little difference in those implants, and given your height you would most likely do fine with the larger implant and look great. Dropping it down to 375cc would not change much, so that is ok also.

Published on Jul 11, 2012