Is 450cc too big for me? (photos)

At size 34 B each 100 cc’s of implant corresponds to 1 cup
size change. To achieve a D would
require 200 cc implants. I always
recommend small round textured silicone gel implants placed retro-pectoral
since they look and feel more natural, are more stable, less likely to ripple
or have complications needing revision.
Implant profile is irrelevant in the retro-pectoral position since the
muscle compresses it. Putting sizers in
a bra does not correspond to the appearance after internally placement of
implants. 22% of women who undergo
breast augmentation alone require revision within 2 years because they are
dissatisfied with the result. A frequent
cause of dissatisfaction is over implantation.
450 cc implants will not fit retro-pectoral, will extrude inferiorly and
laterally requiring revision. Best Wishes,Gary Horndeski, M.D.

Thank you for your question.Since you have had an interesting consultation  and like the 450 cc size there is very little that any one on the Internet can add to that.  I agree with others that on the average person who wishes a full C small D and has her own breast tissue 400 cc this usually as large as I go.  Please discuss with your plastic surgeon the possibility that the surgeon can try different sizers in the operating room and look the surgeon decide what looks best on you.

There is a lot of energy and apprehension associated with implant sizing. But the basic question is pretty straightforward. How will I look with clothes on?.Because bra sizes are not scientific, the patient must be given the opportunity to convert her wishes to a volume or language we all can speak. So preop sizing with implants provides a crude but effective and cheap way to see what you look like before surgery. It is a lot harde to change the implant after surgery.  I have found this technique a simple, crude but elegant way to have my patients decide. Sure there are limits but all that is discussed preop with each patient. It is each patients responsibility to come to a decision she can live with. I find very few are unhappy postop.