Will 450cc HP Silicone Gel Implants Unders Make Me into a Full C/ Small D?

Thank you for the question.
 As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online.
The best online advice I can give to ladies who are considering breast augmentation surgery 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  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 “full C, small D cup” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.



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 hope this helps.

At size 34 each 100 cc's of implant corresponds to 1 cup size change.  Since you are a 34 A and want to be a D, 300 cc's would be adequate.  I recommend silicone gel placed retro-pectoral since they look and feel more natural and are less likely to ripple.  I do not believe you can accommodate 450 cc under the muscle and they will extrude inferiorly and laterally and you will require revisions.  The goal of breast surgery is to achieve beautiful breasts.  Beauty is determined by skin tone, symmetry, cleavage, position on the chest wall and least of all volume.

Best Wishes,

Gary Horndeski, M.D.

In general, silicone implants are much less likely to cause rippling than are saline breast implants.  Unfortunately without an exam, I cannot accurately predict your final size or your risk for rippling.  I recommend that you try on the breast implant sizes that you are considering in your surgeon's office prior to surgery so that you can make sure that this is the right size for you.  Good luck.