Silicone Breast Implant Sizes: Common Volumes and Selection Factors

Typical Silicone Implant Volume Range

Standard smooth/round cohesive gel implants: 125–800 cc in 25–50 cc increments. Most common selections:

• 150, 200, 250, 300, 350, 400, 450, 500 cc
• Profile options: Low, Moderate, Moderate Plus, High, Ultra-High (projection vs. base width).

Selection Is Multidimensional

• Patient anatomy: Chest wall width, breast base diameter, skin envelope, ptosis degree, existing tissue volume.
• Goal: Natural vs. augmented look; cup-size target.
• Implant type: Round vs. anatomic (teardrop); smooth vs. textured (macro/micro/nano).
• Plane: Subglandular, subfascial, submuscular (dual plane).
• Incision: Inframammary, periareolar, transaxillary.

Consultation Process

1. 3D imaging (Vectra, Canfield) or sizers in bra.
2. Measurements: base width, pinch test, sternal notch-to-nipple.
3. Discuss trade-offs: larger = more upper pole fullness but higher ripple, palpability, ptosis risk.
4. Review safety data (FDA surveillance, BIA-ALCL risk with textured).

Board-certified plastic surgeon tailors plan; no universal "best size."