475 cc's or 500 cc's fit in my 5'1 frame? Do I need a second surgery to achieve the stripper look? (Photo)

At size 32 A each 100 cc’s of implant corresponds to 1 cup
size change. If you attempted 475 cc or
500 cc implants, they will not fit behind the muscle, will extrude inferiorly and
laterally requiring revision. Your
nipples are widely separated and you have very little cleavage. I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be
placed. Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant. Small round textured silicone gel implants
placed retro-pectoral 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. This operation can increase your projection
without excessive volume. Best Wishes,Gary Horndeski, M.D. 

Going too large your first time will probably cause some complications, like wound separation. It's better to go with your surgeon's advice, then once your tissues have expanded, go for a larger one if you prefer. 

Thank you for the question.In my opinion, larger implants are needed in order to give you the look that you want. You might want to start with a bit larger than now and then exchange them for larger implants. Your skin seems tight and there might not be enough room to place the largest implant right now. I suggest high profile gel implants.Dr. Campos

Certainly your first augmentation will be limited by the chest size, and the skin envelope of the breast which must accomodate the implant. If the volume is "forced" you might result with a double bubble, symmastia, or an implant that extends off the side of the breast. You may have to "maximize" your first augmentation and if unhappy return for a second after the breast envelope relaxes.

Thank you for the photos and clearly you are thin so the larger you go the more "fake" or stripper like the result will be. That said you have to be happy with the final result so if larger is where you want to be accepting the fact that it may not be the best medical choice, find a surgeon who will give you the result you are looking for.

Dr. Corbin

Thank you for your question and photograph.  I agree with your plastic surgeon at 400 cc is the largest implant to be safely placed beneath your chest muscle.  In a small framed woman such as yourself, placing implants and the 500 cc range significantly increases your chance of complications.  If you trust and like your plastic surgeon I suggest you follow his or her advice.

In someone your size, 400 cc implants are HUGE. Unless you are using a very high profile, even they are probably too large for your chest. Before I would place even this implant, we would have to have very serious discussions about your reasons for doing so and the possible risks. As a result of using an implant that is large for your frame, you are risking many problems, including mal-position of the implant, double bubble, irritation of the arms from lateral projection, synmastia and thinning of what breast tissue you do have. I would listen to your surgeon and limit the size of the implant initially. If you are really unhappy because the implants are too small and you haven't decided that the other problems outweigh your desire for size, you can come back and put a larger implant in later. Remember, there are a huge number of ladies who have their large breasts made smaller each year. There is a very good reason for this, and those women are much happier as a group than those who enlarge their breasts.