Breast Lift and Implants on a Large-framed Woman?

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants:#breastimplant#breastaugmentation#breastliftwithimplants

Silicone gel implants feel much better than saline.  They also have a smaller chance of showing ripples.  The new generation cohesive gel implants are particularly nice.  Go with silicone unless you have a strong preference for the saline.

                  It’s
virtually impossible to make a specific recommendation without pictures or a
physical examination. Your approach to this problem appears to be reasonable
and should hopefully give you the result you’re looking for.

                  Because
you have a large frame, your choice of breast implants will significantly
impact your aesthetic result. In most cases it’s important to have harmony,
balance and proportion with the surrounding structures. In other words, rather
than targeting a specific size, it’s better to have a good fit.

                  The
choice of implant material is also important. Multiple implant materials are
available for breast augmentation. These fall into three broad categories
including silicone gel, cohesive gel and saline implants. Although each of
these implants offers advantages and disadvantages most surgeons feel that
silicone gel implants feel more natural than cohesive gel or saline implants.

                  It’s
also important to consult a board certified plastic surgeon with experience in
this area. This surgeon should be able to formulate a treatment plan that’s
appropriate for your problem. 

It sounds as though you have a great plan to improve your breast aesthetics. A lift is frequently required with an implant after the breasts have gone though lactation. To pick the best size, I would recommend finding some photos of breasts that you like and showing them to your plastic surgeon. Also, try on some implant samples underneath your bra to get a general idea of the look that you desire. Silicone implants are 100% FDA approved and give a very natural appearance with a natural feel over saline implants. Both are safe, and I mostly put in silicone implants. Good luck!

You seem to have two very different concerns, namely implant size and whether to go with saline or silicone. To answer the first part of your question: It's impossible to say whether a 425cc implant would satisfy your beauty goals without getting a consultation first, and even then I would take care not to focus on cup sizes as a goal, especially for a woman with a larger skeletal frame.What's more, cup sizes are often inconsistent between different bras, even those made by the same brand. Also, keep in mind that you're not only getting an augmentation, but also a lift, which means your final result (and therefore your cup size) will also depend on the type of lift you get and the amount of skin removed. Even without the lift, the amount of cc's it takes to increase a cup size varies from one woman to another.

In my experience, these factors along with several others make trying to predict cup sizes too difficult no matter how much time we spend during the consultation. This is why I suggest not aiming for a certain cup size and instead aiming for a certain breast size and shape.
Now, for the second part of your question - when it comes to being undecided between saline vs. silicone implants, you're not alone. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?
A term that I use with my patients for the perfect implant is the “Pony Implant”.
So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.
Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.
And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"
That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.
This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.
Thank you for reading and best of luck on your journey!