225cc or 250cc? Is there a big difference between the two? Which size would you recommend?

My breast augmentation is next Saturday and I am hesitating between 225 and 250cc submuscular silicone! I am a 32A/tiny B and fill up a 32B bra at Victoria's Secret. I am looking to be a full B/small C. I'm 5"6 and weigh around 100lbs. I am so scared I'm going to look disproportional and fake, but am also scared this is going to make me go too small. My goal is to look natural and proportional, while at the same time have a nice rack. Which implant do you think will give me the desired look?

Answers from doctors (14)


Y Plastic & Reconstructive Surgery

Published on May 20, 2019

There is essentially no visible difference between the 2 implants if they have the same projection. If you have concerns, please go back and visit your surgeon. Try a sizing system to see if the proposed volume approaches your goals and if so, feel confident. Otherwise, you can adjust the implant volume/projection, etc. to achieve your goal.

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Answered by Y Plastic & Reconstructive Surgery

There is essentially no visible difference between the 2 implants if they have the same projection. If you have concerns, please go back and visit your surgeon. Try a sizing system to see if the proposed volume approaches your goals and if so, feel confident. Otherwise, you can adjust the implant volume/projection, etc. to achieve your goal.

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Oct 13, 2016

25 cc's is less than two tablespoons difference. 15 ccs is a tablespoon. The two sizes will be indistinguishable to the naked eye when healed. If you have optimized the choice with your local board-certified plastic surgeon, then you have made an educated decision, either way.

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Answered by Larry Leverett, MD, FACS

25 cc's is less than two tablespoons difference. 15 ccs is a tablespoon. The two sizes will be indistinguishable to the naked eye when healed. If you have optimized the choice with your local board-certified plastic surgeon, then you have made an educated decision, either way.

Published on Jul 11, 2012


Robert Kearney, MD

Published on Aug 19, 2016

That is a really small implant. I think you would be unhappy with it. I would move up to a mid-profile implant, probably closer to 300cc's. Consider that a shot of tequila is 45cc's--the difference between 250 and 225 is about 1/2 a shot of tequila. This would probably only make a difference if you drank it :)

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Answered by Robert Kearney, MD

That is a really small implant. I think you would be unhappy with it. I would move up to a mid-profile implant, probably closer to 300cc's. Consider that a shot of tequila is 45cc's--the difference between 250 and 225 is about 1/2 a shot of tequila. This would probably only make a difference if you drank it :)

Published on Jul 11, 2012


Paul Benien Jr. D.O., F.A.C.O.S., F.A.A.C.S.

Published on Aug 17, 2016

25cc difference is not much of a difference at all. You need to consult with your surgeon about the size.

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Answered by Paul Benien Jr. D.O., F.A.C.O.S., F.A.A.C.S.

25cc difference is not much of a difference at all. You need to consult with your surgeon about the size.

Published on Jul 11, 2012


Charles A. Messa, III, M.D., F.A.C.S.

Published on Aug 07, 2016

Thank you for your question. There is minimal difference in these two implants. If your surgeon is using a Mentor moderate plus profile implant, then there is a 4 mm difference in base diameter and 1mm difference in projection. The volume difference is minimal. I would recommend the 250 cc implant to provide more cleavage (less space between your breasts). Depending on your natural breast base width, I think you will achieve your goals with that implant. Good luck.

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Answered by Charles A. Messa, III, M.D., F.A.C.S.

Thank you for your question. There is minimal difference in these two implants. If your surgeon is using a Mentor moderate plus profile implant, then there is a 4 mm difference in base diameter and 1mm difference in projection. The volume difference is minimal. I would recommend the 250 cc implant to provide more cleavage (less space between your breasts). Depending on your natural breast base width, I think you will achieve your goals with that implant. Good luck.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Aug 07, 2016

It won't make a big difference, but I would go with the 250 cc.

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Answered by Kenneth L. Stein M.D. FACS

It won't make a big difference, but I would go with the 250 cc.

Published on Jul 11, 2012


That's just a couple of tablespoons, so don't fret about it. If one is good, the other is good; if the other isn't good, the other won't be good. They'd result in you needing to wear the same bra size. Pick a surgeon you trust and trust their recommendation.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

That's just a couple of tablespoons, so don't fret about it. If one is good, the other is good; if the other isn't good, the other won't be good. They'd result in you needing to wear the same bra size. Pick a surgeon you trust and trust their recommendation.

Published on Jul 11, 2012


Jed Horowitz, M.D., F.A.C.S.

Published on Aug 02, 2016

25 cc's is too small to make a difference, but this is a good range for the modest size increase that you want.

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Answered by Jed Horowitz, M.D., F.A.C.S.

25 cc's is too small to make a difference, but this is a good range for the modest size increase that you want.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Aug 02, 2016

Submuscular is good, and I do recommend saline implants. Either way, you want high profile. As to the cc difference, 25 cc's is not visibly different and either would add about 1 1/2 cups.

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Answered by Barry J. Kaplan, D.O.

Submuscular is good, and I do recommend saline implants. Either way, you want high profile. As to the cc difference, 25 cc's is not visibly different and either would add about 1 1/2 cups.

Published on Jul 11, 2012


Charles Slack M.D.

Published on Aug 02, 2016

25 cc of volume is different but will not significantly change your cup size. I would not get too worried about choosing the wrong implant given the small size difference.

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Answered by Charles Slack M.D.

25 cc of volume is different but will not significantly change your cup size. I would not get too worried about choosing the wrong implant given the small size difference.

Published on Jul 11, 2012


More About Doctor Paul Vitenas Jr., MD

Published on Aug 02, 2016

Thank you for your question. There is not a size in between 225 and 250 in silicone implants, and the difference in those two implants is only about 1/6 cup of a difference. The 250 cc will be slightly larger and wider, but is still a very modest and natural CC size. To put it into perspective, It takes about 200-220 cc's roughly to make one cup, so either way you are only going about 1 full cup size of a difference. The #1 reason in America of why women get breast implant exchanges is to go bigger, so it is best to try both of the sizes on and determine what you feel the most comfortable with if you’re able to.

Answered by Paul Vitenas Jr., MD (View Profile)

Thank you for your question. There is not a size in between 225 and 250 in silicone implants, and the difference in those two implants is only about 1/6 cup of a difference. The 250 cc will be slightly larger and wider, but is still a very modest and natural CC size. To put it into perspective, It takes about 200-220 cc's roughly to make one cup, so either way you are only going about 1 full cup size of a difference. The #1 reason in America of why women get breast implant exchanges is to go bigger, so it is best to try both of the sizes on and determine what you feel the most comfortable with if you’re able to.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Aug 02, 2016

Thank you for your question.

You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. In other words, there is no reliable/accurate correlation between additional volume utilized and cup size increase. Ultimately, careful communication of your goals with your surgeon will be critical.

Generally speaking, the best online advice I can give to ladies who are considering revisionary 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. I have found that the use of words such as “natural” or "full DD 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.

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. Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, helps me select the best breast implant size/profile for the specific patient.

I hope this helps.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question.

You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. In other words, there is no reliable/accurate correlation between additional volume utilized and cup size increase. Ultimately, careful communication of your goals with your surgeon will be critical.

Generally speaking, the best online advice I can give to ladies who are considering revisionary 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. I have found that the use of words such as “natural” or "full DD 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.

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. Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, helps me select the best breast implant size/profile for the specific patient.

I hope this helps.

Published on Jul 11, 2012


Andrew Trussler MD, FACS

Published on Aug 02, 2016

Choosing a breast implant size is very individual and depends on height and weight and goals, but more importantly skin laxity and chest dimensions. Speaking in implant volume does not mean anything either, as there are different implant shapes that will vary in appearance. In general, a 250 cc implant would deliver the volume change, but it would need to be evaluated with your plastic surgeon.

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Answered by Andrew Trussler MD, FACS

Choosing a breast implant size is very individual and depends on height and weight and goals, but more importantly skin laxity and chest dimensions. Speaking in implant volume does not mean anything either, as there are different implant shapes that will vary in appearance. In general, a 250 cc implant would deliver the volume change, but it would need to be evaluated with your plastic surgeon.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Aug 02, 2016

Both of these implants are too small. In over 30 years of practice, I have never placed an implant that was too small. The difference between the 225 cc and 250 cc is basically 2 tablespoons. A 32B from Victoria's Secret is equivalent to an A-cup from other manufacturers. Without seeing you and getting your proper chest measurements, it would be impossible to make a recommendation. However, I will say that every woman after surgery wishes they had gone bigger. Best of luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

Both of these implants are too small. In over 30 years of practice, I have never placed an implant that was too small. The difference between the 225 cc and 250 cc is basically 2 tablespoons. A 32B from Victoria's Secret is equivalent to an A-cup from other manufacturers. Without seeing you and getting your proper chest measurements, it would be impossible to make a recommendation. However, I will say that every woman after surgery wishes they had gone bigger. Best of luck.

Published on Jul 11, 2012


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