Choosing the right size IDEAL implant for BWD 14cm - is bigger better? Or will it increase complication risk? (photos)

There are many different factors to consider when sizing an implant.  You want to be full enough to meet your goals in and out of clothing.  Many patients will wish they had gone larger after they get used to a particular size.  But as the implant becomes larger and heavier there can be more "stretch" issues from the weight of the implant.  Think back to any friends that had large breasts when they were younger- they have drooped by now.  Some people say that a "large" implant is anything bigger than 350.  It would not be unusual to use a 400 or 425 in some patients in my practice.  But the point is made that as implants get larger the risk of stretching issues increases.  
The nipple to fold distance on stretch is one of the most important measurements: if it is 7 than an 11 cm base implant, 8, a 12 cm base implant and 9, a 13 cm base implant.  But heavier implants will cause this distance to stretch and increase.  The base width of your breast is most important only in that if you go wider than the base width of your breast it can start to look overly round, like an implant, a look that is undesirable by many if not most of my patients.  But going smaller than the base width is fine.  The implants only reliably  increase the volume of your breast, and if the implant is smaller than the base width it does not tend to appear overly round.  By the way, the ideal implants are measured a little differently in width because they are shaped to sit on a curved surface like your chest wall, not on a table.  You need to add 3 mm to the listed width of an ideal implant to match the measurements of a standard implant.  They need to be undersized a little bit to look natural.
So don't get hung up on the base width of your breasts, it is just one factor and only really important to not exceed.  
I find it helpful to have my patients try in sizers such as the Mentor sizing system in the office to get an idea of how the new breasts will look and feel in clothing.  The range of sizers is selected based on your breast measurements.

I hope this helps!

The most crucial factor in sizing implants for any particular patient is the diameter of your breast at its widest point.  If your breast has a diameter of 14cm, the Ideal Implant that will “fit” on your chest would be a 595cc, 635cc or 675cc.  This size implant would appear to be quite large on a 5’5” 135lbs body frame. 
However, the drawing you have posted shows the right breast as actually having a base width diameter of 10.4cm, which would correspond to a 240-270cc Ideal Implant. 

Because the Ideal Implant comes only in a “high profile,” the volume of the implant for any particular width will be greater than that of a “moderate profile” implant. 

In my practice, I have patients pick out the size proportion that they are looking for from my “after” photos, and this allows me to determine what profile will best suit them.  I find this to be much more accurate method of choosing implants than having patients try on various sizes in their bra, since that technique tends to grossly underestimate the size implant needed to satisfy the patient’s needs. 

There is no particular implant size that is associated with an increased incidence of complications, since there are so many different factors to consider from one patient to another.

I hope this answers your questions.  Good luck!