4'11", 125 lbs, 34B. Is 400 cc too big for my size? (Photo)

Thank you for your question.  Looking at the photos I do believe you are starting a great starting point and have realistic goals.  I typically don't concentrate too much on cc's I tend to tell my patients let's concentrate on cup size.  I would suggest seeing a Board Certified Plastic Surgeon and also seeing if they offer 3D imaging.  This tool helps narrow down the implant size and gives pretty realistic outcomes.  Best of luck to you. 

Many factors come into play to determine the appearance and outcome following breast augmentation. Although the volume of the implant plays a significant role, there are other factors that are equally important. It appears that your goal photograph is achievable. Make a consultation with a board certified plastic surgeon to confirm the best way to achieve this. 

Bra manufacturers do not use CC sizing so finding a 1:1 correlation between the cup size and CCs is impossible.   At your next pre-op visit, try on a profile bra with various 400 cc sizers under a tailored blouse, tight sweater, swimsuit, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant volume selected. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision. 

always tough to say by photos, but if that picture is your dream , then go for it!!!  good luck.....

Hello, 
Great question and photos.  I think that you would be a perfect candidate for a breast augmentation.  I think with the goal breasts, you could use the 400cc HP breast implant.  I recommend finding a board certified plastic surgeon that can simulate using 3D techniques.  Or give you the opportunity to try on sizers to give you a realistic expectation of your goals.  
Good luck on your future surgery!

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a ""cookie-cutter"" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Hello and Great Question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Breast Augmentation Specialis
Based of your photos a 400 cc may suit you, however I would suggest you consult with a board certified plastic surgeon who specializes in this procedure, who can give you an in person consultation where you can be measured and sized for breast implants based your goals and desired size.
I hope that helps! Best of Luck! 
Matthew J. Nykiel, MD #CoreAesthetic Breast Augmentation Specialist Board Certified Plastic Surgeon 

KatrinaI appreciate your concern, because size does matter when seeking a natural looking result in breast augmentation.  You already have very attractive modestly full breasts, and I am not sure you need 400 mL implants to accomplish your goal. I ask my patients to bring in photos of breasts the size they desire, because there can otherwise be confusion because B or C cup can vary greatly by brassiere manufactures! I also utilize the implant in the bra technique, with several different implant sizes with a tighter fitting T-shirt to get an idea of what you will look like. Finally, I prefer to meet with my breast implant patients at least twice before surgery, so I am confident that I know exactly what her desires regarding shape and size are. I then have several sized implants in the patient's desired range available in the OR to allow me to tailor the operation to fit her needs. Be certain your surgeon understands your desires and you should do great as this operation carries a very high satisfaction rate. Be sure to consult with a board certified plastic surgeon. Good luck!

Hello and thank you for the question and sharing your photos. The best advice you can get is from a direct face to face consultation with a board-certified plastic surgeon. Topics to discuss with your surgeon are type of implant (gel vs. saline), location of incision (peri-areolar, inframammary crease, arm-pit) and location of the implant (above or under the muscle). Regarding the implant size, many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. 
In term of implant type, saline or gel implants, each have their own advantages and disadvantages. Ask your surgeon to discuss these with you. As far as the implant shape, round implants can result in great aesthetic outcome and are used in the vast majority of patients.

In terms of the incision, inframammary incision is a common approach that gives great access for creation of a natural pocket, heals very well and can be hidden under bikini. Periareolar approach can be utilized in patients with medium to large areola diameter. Trans-axillary approach is more challenging and associated with higher incidence of implant malposition, particularly in inexperienced hands. Additionally, if a revision is required, additional inframammary incision will likely need to be made to access the implant pocket.

Placing the implant under the muscle is associated with a smoother and more natural upper pole slope., and less risk of capsular contracture. Placing the implant above the muscle, in particular in thin-skin individuals can have the downside of visible rippling. Best wishes and good luck,
Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Thank you for your question and photos. From the photos in which you have attached, I do find you as a great candidate for breast augmentation. It is recommended that you meet with your surgeon to discuss sizes that is best for what you are looking to achieve and also what fits your body. There are many options and your surgeon will walk you through the entire process. It is also helpful to bring in photos of other breast sizes that interest you.