5'5, 115 Lbs, 32A - 425cc over Filled 475cc - Right Size? (photo0

I agree that a 475 cc implant would not appear natural.  It will look quite fake.  Additionally, saline does look more like a coconut shell than silicone gel.  If you are interested in a somewhat natural look, I would consider a significantly smaller implant and preferably a gel filled implant.

I agree 475cc not natural on your frame. With your soft tissue silicone better if you elect a big implant. Natural for you more 375 which should be a full c small D. Good Luck!

There are many opinions about how to choose the right size implant for a patient.  As a surgeon I need to balance what a patient states she wants with what might be appropriate for your body, your breasts, your muscle.  Although it's the desire for a cosmetic change that brings patients into my office, the surgery performed affects more than just your appearance...especially when an implant is placed under the muscle.

It's not for me to tell you what looks natural or proportional- those are personal opinions- not medical...but I do believe the size implant you are considering will be too large for your muscle...and that can lead to all sorts of issues that you're not considering now.  There are also choices in implant type and shape, some of which may allow you other options.  It's important that you are going to a surgeon who will educate...not just operate.

I hope this helps...Good Luck!!!

You have stated that you want natural and proportional breasts to your body. 475 cc implants are too big for your breast  and  will cause problems(thinning of breast tissue, bottoming out, fake look and early sagging).If you want to have lasting  results, I would go with 325 cc implants. Please get more opinions...

To select the right breast implant for your frame depends on how wide your chest is.  How close the cleavage you wish to have and how big you ultimately wish to be.  You chest size and breast have a maximal base width.  This base width should not be exceeded or you will be at risk of symmastia.  You have a very small A cup for your frame.  Which means you do not have very much tissue.  The photo you selected is a very full D cup.  The larger you go the greater the risk of seeing or feeling rippling if the implant has those characteristics.  The Mentor moderate profile saline implant has the most side rippling of all implants so I would not recommend these implants for a patient who does not have much tissue.  I would recommend a similar sized implant in a Mentor high profile silicone gel size or a MP+ silicone gel.  Those implants ripple much less.  Obviously the implants should be placed submuscularly to reduce the chance for vertical rippling and a more natural look.