What Breast Implant Size Should I Choose When Changing Implants To Go Bigger?

Q: Dr. Eppley, right now I have 250 cc mentor smooth round moderate profile implants. I had the surgery 7 years ago and have been in pain all these years. I am finally able to get a revision and switch over to silicone gel implants. I would like to be a bit larger, but very minimal…where me and my husband can notice, but not so much my co-workers and family. I would like more cleavage and not such a big gap in between my breasts. I am 5’7, 118lbs, and naturally was a 32 AA. I am considering either 350cc or 375cc silicone gel moderate plus implants. What would you advise between the two? Isn’t it different when switching over from saline to silicone gel? Meaning adding 125cc’s going from saline to saline, would be much larger than going from saline to silicone gel. The cc’s are the same of course, but because of the way the gel conforms to the body (and is dense), it appears smaller. –so is adding 125cc’s going from saline to silicone 50% bigger?

A: That size difference, 350cc vs 375cc, is visually irrelevant. Always go with the very slightly larger size when choosing between a 25cc difference in implant choices..Regardless of this size change, you will not get your breasts any closer. That would require a much larger implant size to push the volume in towards the sternum. The volumes of saline and silicone implants are identical per cc and there really is no significant size difference between the two. There may be a slight difference in shape with the same size but that is also affected by the projection of the implant shell so saline and silicone breast implants can look very similar depending on what projection of implant is chosen.

Dr. Barry Eppley

Indianapolis, Indiana