Breast Implant Size: How to Choose the Right Implant

Dr. Skerdi Faria
Edited and medically reviewed by Dr. Skerdi Faria, founder and scientific director of KEIT Day Hospital, with the contribution of the hospital's Scientific Committee.
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  • Reading Time: 5 min
Breast Implant Size: How to Choose the Right Implant
Breast augmentation

The right breast implant size depends on your chest and breast anatomy, available tissue, desired volume, implant dimensions and profile - not cc volume alone. During consultation, the surgeon combines precise measurements with implant sizers, photographs and, where available, 3D imaging to select an implant that fits your anatomy and desired result.

In this article, we explain what a breast implant is, which factors determine the right size, and how implant width, height and projection affect the result. We also cover breast implant size charts, expected breast size changes, implant size calculators, the sizing process and the potential problems associated with choosing an implant that is too large.

What is a breast implant?

A breast implant is a medical device used to increase breast volume or restore breast shape. It consists of a silicone outer shell filled with either silicone gel or saline and is placed beneath the breast tissue or chest muscle. Breast implants are available in different volumes, shapes, profiles and dimensions to suit individual anatomy and aesthetic goals. Implant volume is measured in cubic centimetres (cc), but the cc number alone does not determine the final breast size or appearance.

What determines the right breast implant size?

The right breast implant size is determined by your breast and chest anatomy, available soft-tissue coverage, and the result you want to achieve. Implant selection is individualized and should not be based on cup size or implant volume alone. Important factors include:

  • Breast base width: The implant needs to fit within the natural width of the breast without extending excessively beyond the breast boundaries.
  • Chest dimensions: Chest width and overall body proportions influence which implant dimensions are appropriate.
  • Existing breast tissue: The amount and thickness of natural tissue affect implant coverage and how the result will look and feel.
  • Breast shape and asymmetry: Differences between the breasts may require different implant sizes or dimensions.
  • Skin and soft-tissue quality: Skin elasticity and tissue characteristics affect how well the breast can accommodate additional volume.
  • Desired result: The preferred degree of fullness, projection and overall breast shape is considered alongside the anatomical measurements.

Patient discussing breast implant size options during consultation.

Breast implant dimensions: width, height and projection

Breast implant dimensions refer to the implant’s width, height and projection, which influence how it fits the breast and affects its final shape.

  • Width: The base diameter of the implant, measured from side to side. Depending on the implant model, widths can range from approximately 9–15 cm or more and should be matched to the patient’s breast base.
  • Height: The vertical measurement of the implant. With round implants, height and width are equal, while anatomical implants have a height greater than or equal to their width, creating a more naturally sloping breast shape.
  • Projection: The distance the implant extends forward from the chest. Different profiles provide different levels of projection, from lower to higher projection, allowing the surgeon to adjust breast fullness and contour.

These dimensions are considered together with implant volume and shape when selecting the appropriate implant for each patient.

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Breast implant size chart: what do 300cc, 400cc and 500cc implants look like?

300cc, 400cc and 500cc implants represent progressively larger volumes, with 300cc generally providing a modest increase, 400cc a more noticeable increase in fullness, and 500cc a fuller, more pronounced augmentation.

Implant size General effect
300cc Modest increase in breast volume and
relatively subtle augmentation.
350cc Moderate increase in volume with
more noticeable fullness.
400cc Moderate-to-full increase in volume
with more pronounced augmentation.
450cc Greater volume and fullness than
a 400cc implant.
500cc Fuller, more pronounced increase
in breast volume.
550cc+ High-volume augmentation with
substantially increased breast fullness.

The final appearance is also influenced by implant dimensions and profile, so implants with the same volume can have different shapes and projection.

How much will breast implants increase your breast size?

Breast implants can increase breast size by about one to two cup sizes, although larger increases are possible with higher-volume implants. The amount of enlargement is influenced by the implant volume, starting breast size, chest dimensions, implant profile and existing breast tissue.

For example, a 300cc implant produces a smaller increase in breast volume than a 400cc or 500cc implant, with larger implants generally creating greater overall fullness. However, the same implant volume can produce different breast proportions in different patients.

Breast augmentation sizes before and after showing increased breast volume.

Can a breast implant size calculator tell you what size you need?

A breast implant size calculator can give you an approximate idea of implant volume, but it cannot determine the right implant size for you. It can be useful as a starting point, while the final implant choice is made during a consultation using clinical measurements and sizing methods such as implant sizers or 3D imaging.

How do you choose between breast implant sizes? 

The right breast implant size is chosen by combining anatomical measurements with the patient’s desired appearance. During the consultation, different implant sizes and profiles can be compared using implant sizers, photographs or 3D imaging where available.

Patients should consider:

  • desired breast volume and fullness;
  • preferred level of projection;
  • overall breast proportions;
  • how the implant will complement their existing breast shape.

Breast augmentation evaluation with a plastic surgeon.

What happens if a breast implant is too large?

A breast implant that is too large for the patient’s anatomy can place excessive stress on the breast tissues and increase the risk of complications and an unnatural result. Potential problems include:

  • implant visibility or palpability;
  • stretching and thinning of the overlying breast tissue;
  • rippling or wrinkling;
  • implant displacement or malposition;
  • increased breast sagging over time;
  • breast proportions that appear disproportionate to the patient’s frame.

For this reason, implant size should be selected according to the patient’s anatomy, tissue characteristics and desired result rather than volume alone.

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FAQ

Frequently Asked Questions

How does boob job sizing work?

Boob job sizing involves comparing different implant volumes, dimensions and profiles to find an option that fits the patient’s anatomy and achieves the desired breast size and shape.

What are 445cc implants?

445cc implants contain approximately 445 mL of implant volume and provide a moderate-to-full increase in breast volume. Their final appearance depends on the implant dimensions, profile and the patient’s existing breast tissue.

What are 400cc implants?

400cc implants contain approximately 400 mL of volume and provide a moderate-to-full increase in breast volume. They are available in different dimensions and profiles, which can produce different levels of projection and fullness.

How do silicone implant sizes differ?

Silicone implant sizes differ in volume, width, height and projection. These dimensions allow the surgeon to select an implant that fits the patient’s breast anatomy and desired result.

Can breast implant sizes be compared before surgery?

Yes, different breast implant sizes can be compared before surgery using implant sizers, photographs and, where available, 3D imaging. This helps patients visualise differences in volume, projection and overall breast shape.

Dr. Skerdi Faria
Article Author

Dr. Skerdi Faria

Mission:

"To offer patients an approach based on excellence, safety, and innovation in the field of aesthetic surgery, with high-level protocols and natural, harmonious results."

✦ Education and Specializations:

• Degree in Medicine and Surgery (1995)
• Specialization in Public Health (2002, with honors, La Sapienza University, Rome)
• Specialization in Anesthesia and Resuscitation (2009, with honors, Tor Vergata University, Rome)
• PhD in Hospital Infections (2005, with honors, La Sapienza University, Rome)

✦ Career and Recognition:

• Founder and Director of KEIT Day Hospital (since 2011)
• Author of numerous scientific studies published on PubMed and Google Scholar
• Expert in aesthetic surgery, hospital infections, and advanced anesthesia protocols
• Gold Medal (1989, Ministry of Public Education – Albania), Energie per Roma (2025, European Center for Cultural Studies – Rome) and others.

✦ Media and Public Recognition:

Dr. Skerdi Faria has been recognized as one of the most influential doctors in the field of aesthetic surgery and has been interviewed and cited by major media outlets in Albania and Italy, including:
• Italy: Rai 1, Rai 2, Rai 3, Mediaset, La7, Corriere della Sera, Il Sole 24 Ore, Il Messaggero, La Gazzetta del Mezzogiorno, Il Tempo, Adnkronos.
• Albania: Top Channel, Klan TV, Vizion Plus, Shqiptarja.com, Panorama, Gazeta Express.

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