Are 450cc and 500cc Implants Too Big for D Cup Breasts?

Looking at your photo, it seems that you may also need a breast lift at the same time of your breast implant insertion. The sizes you list (400-500cc) are fairly large and may get you to the cup size you want however these implants may over time cause your nipple position to drop. This is difficult to determine without examining you in person, but you may want to consult with one or more board certified plastic surgeons in order to see what the best approach is for your particular anatomy.
Best wishes,
Dr. Bruno

You need to try on sizers to see if you like a particular volume.  You do not look like a D cup.  The sizes you mention look like they will fit you well.  You just need to see which you like best by trying on the sizers.

Thank you for your question, and your photo.  Cup size can be a funny thing.  It's mostly based on projection.  It can also depend on how much breast tissue you had to begin with.  Figuring out the cc's is often based on your base width, (how wide your breast is).  Some Plastic Surgeons will uses sizers at time of surgery, but we are all different.  There used to be standardization, but that went away.  It can depend on what style of bra you wear.  They usually will get to their final position in 6 to 12 months.  One will usually drop faster than the other, and the shape may go through various changes.  Please let your Board Certified Plastic Surgeon know what your goals are.  Please follow their post op instructions. For example; we like message, but some surgeons will have you wait, or do it in a specific manner. Please let them know your thoughts and concerns.  
Jeffrey J. Roth, M.D., F.A.C.S.
Board Certified Plastic Surgeon
Las Vegas Plastic Surgery

Thank you for your question.  An examination will best determine the best size implant.  You may to consider a breast lift with implants for best results.  Consult with a Board Certified Plastic Surgeon.

         Based on your
pictures, it appears that you have significant breast sag in the presence of
moderate breast volume. Without the ability to perform a physical exam, it’s
very difficult to make an accurate assessment of your situation.

 

         It would appear that
correction of your problem will require a breast lift. This breast lift will
result in your breasts appearing larger than they did when they were saggy. For
this reason alone, a 500CC implant might be too large for your body.

 

         It’s important to
understand that correction of this type of complex problem will require that
your surgeon be able to make decisions in the operating room. It’s important
that you discuss your aesthetic goals with your surgeon and it’s also important
that you realize that decisions will need to be made in the operating room that
will optimize your result.

The 10% difference you are debating is not worth the mental anguish. If 500 is too big for you, it is likely that 450 will be too big as well. Size is relatve. While you seek a D cup as desireable others would call it too big.