500 cc for 5'9 160lbs? (photo)

Thank you for your picture. I agree that a lift is necessary a 500 mL gel implant is appropriate. I agree that a larger implant place will make it difficult to perform a lift. After surgery is hard to determine what cup size you will be. There's no way to predict that going in or to tell that afterwards until you're completely healed and you are remeasured. Therefore focus less on the cup size and more on the desired and actual results. Good luck

At size 34 each 100 cc’s of implant corresponds
to 1 cup size change.500 cc implants
will take you to a size G, weigh over 1 lb each, will extrude inferiorly and
laterally requiring revision.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.300 cc implants would take you to a DD.However, you are asymmetrical in shape,
position and volume.The lift is just as
important as the implant.Best Wishes,Gary Horndeski, M.D.

In my over the internet opinion if you desire DD cup there is NO WAY to achieve in only 1 operation combination of larger implant with full lift... Best to do lifting operation first than wait 3 months for healing. Have second operation of larger volume implant in 600 to 800 range...