Congratulations! It depends on your current breast size to know how much 300cc's would add to your overall look. I recommend taking photos in of the desired look you are trying to achieve and consult with your board-certified plastic surgeon.

Published on Jul 11, 2012

The difference between those two sizes is very small, about five tablespoons. If there is any complaint that I see from other plastic surgeon's patients is that they wished that they would have gone larger.

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

Sizing for breast implants is an important process that should involve both you as the patient expressing your desired outcome and your surgeon's judgement. There should be a complete examination, measurement and photographs to help plan the optimal breast implant dimensions to fit your body and proportions. With that information, you should have at least one or two opportunities to discuss your desires and expectations with your surgeon. More helpful aids include trial sizers in the office, review photographs of similar patients results, and computer imaging.

The difference between 280 cc and 300 cc is very minor, and it is usually best to "push" the volume up a little so you won't be disappointed with being too small, so it makes sense to go with your surgeon's recommendation of 300 cc.

Published on Jul 11, 2012

Breast implants look different on everybody depending on their chest measurements, amount of breast tissue, skin elasticity and many other factors. Therefore it is very hard to give advice without a face-to-face consultation. Having said that, I can tell you that the difference between the 280 cc and 300 cc implant is only 0.3 cm in diameter and 0.1 cm in projection. This means that the difference between the two is so slight and that being "too big" with a 300 cc or "too small" with a 280 cc is extremely unlikely. If you have had the opportunity to try on those sizes in a bra at the office with your PS you might recall that it was likely pretty difficult to tell the difference between the two. Talk to your doctor again before your surgery so that you are completely confident that you are making the right implant choice for yourself. 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 which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times 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 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) 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 which 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.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look.

With regards to your specific concerns, the 20 cc differential between a 280 cc and 300 cc implant is miniscule (4 teaspoons). It is unlikely you will be able to discern a difference post op.

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

Published on Jul 11, 2012