This is a very personal question and difficult to make any comment on without seeing how you look currently. The easy answer is to go back and discuss an implant exchange with your surgeon and see what their thoughts are.

Published on Jul 11, 2012

You may have seen a difference between the 300 cc and the 380 cc implants, but sometimes your tissues cannot go any larger at one setting than what your surgeon went with originally. If they were extremely tight feeling at first, then you might not even have been able to accommodate more volume, so don't beat yourself up over it. Changing profiles to add more projection may be an option in your case, as well as adding some volume. I would discuss this with your surgeon and see what they have to say.

Published on Jul 11, 2012

Going up 80 cc will make a difference, but not a huge one. I would suggest that you keep in contract with your physician and have regular visits. Size concerns are common following breast augmentation despite every effort to try and make sure the patient has a good idea of what to expect (and what not to expect). Give this a bit of time and let everything settle down before you make any decisions. Hope this helps.

J. Wethe, MD

Published on Jul 11, 2012

Sorry to hear you are not happy with the results from another surgeon.There is a significant likelihood that a 380 cc implant would be noticeably larger than the 300 cc one you have in now. Did your surgeon use a sizing kit or surgical simulation software when you had your initial consultation? We use Crisalix in the office in addition to Mentor sizing kits that do a good job of predicting likely results.

You should discuss this with your surgeon and potentially get additional opinions from other surgeons. Why not go to our forums here and ask a few of us specific questions?

Published on Jul 11, 2012

Unfortunately, many patients who undergo breast enlargement are not happy that they did not go larger. I definitely take this into account when I listen to what my patients want and have them show me in books and pictures what they desire.

You will also lose about 1/2 to 1 cup sizes over next year. 80 cc will increase your cup size by only about 1/2 cup size! For some reason many plastic surgeons are not comfortable with going with larger sizes. You may want to visit my site xlbreastimplantsdotinfo.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
Newport Beach, San Francisco,Miami, Italy, Anguilla
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

Thank you for your question.

I generally ask patients to "not choose a cubic centimeter number or breast implant size" but rather show me photos of their goals. I use temporary sizers to simulate their goals as close as possible. I feel that communicating with photos is more accurate.
I hope this helps.

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

Published on Jul 11, 2012

I appreciate your question, and you providing all of your dimensions. That is very helpful. I think that in a larger woman or when dealing with larger implants, the increase of 80 cc is often underwhelming. However, in someone petite such as yourself, and with a more moderate sized implant, the increase of 80 cc is much more dramatic. That jump is more than a 25% increase in volume. So I do think that a 380 cc implant on you would look quite different than the 300 cc you have now. That being said, I am sure that on your frame the 300 cc implants make for very pretty breasts. I think that is has been just over two months. That is a time when most women wish they had gone slightly larger. I suggest you reassess things around Christmas time. You may find that you have gotten more used to your implants at their current size and really love them.

If however you are still wishing for more at that time, it is worth considering an implant exchange. That is really a very simple procedure and your recovery time will be very minimal. I hope this helps. Best of luck.

Published on Jul 11, 2012

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing.

Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest, their cup size in an industry leader such as VS is not necessarily transferable to another brand.

Another point that is often under appreciated is that of anatomy and starting point. Any implant will add volume to the what is already present. The implant is additive; a particular volume will not necessarily confer the same cup size to different patients (oftentimes, it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins").

A general rule of thumb is that 125 cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25 cc-50 cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers (at least anecdotally) to be of little help. Patients often present with notions/goals that do not correlate with these sorts of sterile volumetric assessments.

When sizing patients, there are a number of useful tools including:

-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)

-Breast sizers (rice bags)

-Goal photos

I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.

With regards to your specific question, the difference between 300 cc and 380 cc is a subtle but noticeable difference (depending upon the volume of native breast tissue). In my practice, I generally tell patients that a 100 cc difference is needed for a significantly noticeable change. This usually borne from both sizers and 3D imaging. Ultimately, without photos it becomes difficult to offer any real advice on the matter.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Published on Jul 11, 2012

It is not uncommon for women to have some minor regret about not having gone quite large enough after breast augmentation. Given your dimensions, you should be closer to a medium to full C-cup now (approximately 150-200 cc for a full cup size increase).

A further change from you current 300 cc to 380 cc would be an increase of 27%, which would probably put you at a slightly fuller C-cup (yes a difference but not a big change).

Since it has only been two months since your surgery, it would be best to express your concerns with your plastic surgeon now but be patient with your final result as with settling and "fluffing" (can take a few months) as well as your getting used to your new size, you may decide that you are content rather than having to go back with a size change revision so quickly.

Published on Jul 11, 2012