32AA/32A - What the Largest Implant I Can Get?

Hi there-

It is very important to understand that your question could not be responsibly answered without a physical examination.

Equally important is understanding that (in my considered opinion), you are not doing yourself any favors to become so invested in the details of the surgical procedure- even with time spent educating yourself and in gathering answers to questions like the one you posted here, you can never hope to know as much about how to attain the result you want as a well-trained, experienced, Board Certified Plastic Surgeon would.

Best case scenario, you identify the implant you think you want, then find a surgeon willing to put in the implant you want them to put in (instead of doing what they think is best for you)... if you are VERY lucky, you may get close to what you wanted... But much more likely is the probability that you are unhappy, because as I mention above, you simply cannot know as much as a good surgeon would.

You are INFINITELY better served to not waste any more of your time or energy researching implant shapes, sizes, etc, but rather spend this time and energy researching SURGEONS.

If you find an excellent surgeon; one that you like and can trust with your safety and happiness, and who has a lot of experience, your chances of being safe and achieving a lovely long term result and complete satisfaction are much, much higher.

You're doing this backwards.

Find a surgeon first. Then trust them to help you figure out what is most likely to make you happy.

It is very important to communicate your size goals with your surgeon.  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 “C cup” or "fake looking" 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.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.

I would suggest a Moderate Profile implant of width 1cm less than your breast width. Trust your plastic surgeon to take an accurate measurement, and it is easy to look on the implant size charts to pick the biggest implant you can that fits within your frame. I would suggest the Allergan (vs Mentor) implants, as they are about 1/2 cm smaller in diameter per size.