Is 450cc too Big for Me? (photo)

At size 34 each 100 cc of implant will correspond to 1 cup size change.  If you are a 34 AA, 450 cc implants will take you up 4 1/2 cup sizes, which is approximately between a D and DD.  You have very little breast tissue and you will look artificial with that size implant.  I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue to increase upper pole fullness and cleavage.  Aligning the areola, breast tissue and implant high on the chest wall over the bony prominence allows the use of a smaller size implant.  The best implants are silicone gel placed retro-pectoral since they look and feel more natural.  The smaller the implant the less complications and less descent over time.

Best Wishes,

Gary Horndeski, M.D.

Many women ask to be certain cup size after an augmentation.  For my patients I have them select the size by using implant sizers placed in a sports bra and a cotton tank top during the consultation and at the pre-op exam.  The advantage of the high profile style is you can maximize or minimize the appearance of size because the high profile style will give you the most central fullness for any given volume.  I have done photos of patients with the sizers in place during the pre-op exam and then repeat the photos with the actual implants in place after surgery and the visual size is very similar.  The problem with trying to give you a specific cup size is dependent on the width of your breast, the measurements of your chest wall width and the circumference of your chest.  There are multiple styles of silicone implants (high profile, moderate plus profile, moderate profile and classic profile when you compare silicone implant styles) that can give you a very different look depending on which style you choose.  If you want to be specific cup, I recommend to my patients to bring the bra they want to fill and I can use that to help them figure out which size to get. 

Remember, the bra cup is actually determined by the width of the breast and most women wear the wrong bra cup size to allow them to enhance the breast appearance, prior to the surgery.  An example is wearing a B push up bra but your breast is actually a C width.  Also, another issue is the bra number, a 34 C typically is equivalent to a 36 B.  So, for your pre-op sizing choose the bra you will be comfortable in, when you get your new look.

Enjoy your new look.

I personally would not go with 450 in someone like you, that being said I am a conservative breast surgeon and have a strong preferance for a more natural look, i would have suggetsed 330