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

When you meet with  well experienced board-certified plastic surgeons, you should delineate your goals clearly. For example you may want the nipple-areola  to sit higher on the breast mounds- this may require breast lifting surgery.

 In regards to breast size, the more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size.  This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone  and low/moderate/high profile), bra  manufacturer variance  in cup sizes, the  degree  of filling of the cup  with breast tissue,  and the subjective differences in patients perceptions of cup size. 
If surgery is decided upon, it will be very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.


I hope this helps.
   

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.