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.

There's no way to know what size you will be as bra sizing is highly varied between bra manufacturers. 

Dear Mariie,        Thanks for submitting your picture. From the picture it appears that you have a small A cup with grade 2 ptosis on the right side and A cup with grade 2  to 3 on the left side. If indeed your chest circumference is 34 inches, 500 cc implants will bring you to a 34 D + . If you are 36 inches you'll become a 36 small D. As far as the lift, as long as it is a mini lift ( donut, circum areola ) , you should heal without  a problem. Any other lift technique , will be better off with small implants, so that there will be less compromise of the circulation due to excess pressure on the skin flaps and the nipples. Always, consult only,  with board certified plastic surgeons who operate in accredited surgery center. Check their before and after pictures to make sure that they are numerous, consistent and you like them. Also, check the reviews for positive patients experience                      Best of luck,                                        Dr Widder

Sounds like you have a good surgical plan, I rarely use 500cc implants but I am sure your doc has spoken to you at length about the consequences of heavy weighted implants on soft tissues of the breast

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... 

There are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr.BasuHouston, TX

I usually use a 150-200cc per cup size increase rule of thumb.  With that you should be able to expect a 2 1/2 to 3 cup size increase.  However, all bra manufactures are slightly or sometimes greatly different.  In fact, usually a 36B correlates most closely with a 34C, and a 34B approximates a 36A .  Depending on where you start, which bra you buy, you will most definitely be 2 to 3 cups bigger.  You really can't get to caught up. Inthe cup size for this reason.  My guess is if you are a 36 B in a brand now you will be a 36 D plus or a 34DD.  Victoria's Secret and Calvin Klein you are more likely to be a DD where as in Warner or Bali, it. May be slightly smaller.  And I would agree it would probably be hard to fit a larger implant at this time! but again I can't say for sure without an in person exam.  Good luck!

You can do a baggy test with the smaller breast to determine about what size you will bo. Cup size does not always correlate to implant volume.

Thank you for the question and pictures. Based on your photographs, you are starting at a great point and should have a very nice outcome with breast augmentation/lifting surgery.  
Ultimately, careful measurements (dimensional planning) will be an important part of the preoperative and intraoperative planning process.   In my practice, I will often use an intraoperative tailor tacking technique to individualize the breast augmentation/lift to the patient's specific situation/anatomy and goals.    
Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation/lifting surgery (regarding breast implant size/profile selection) is:
 1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your   desired goals  with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
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 "DD cup" etc  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.  The use of  in bra sizers and computer imaging may be very helpful during this communication phase.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  I find that the use of temporary  intraoperative sizers ( with the patient in the upright position)  allows for accurate selection of breast implant size/profile to achieve patient's goals as precisely as possible.
I hope this, and the attached link, helps.