Breast augmentation Size 235cc HP - Advice?

I would recommend that you go with the size (220cc) that boosts your self-esteem, and fits your anatomy.  Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Thank you for your question and photographs.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss implant sizes with your surgeon to ensure that the implants you decide upon are the right ones to meet your expectations.  Based on the sizes you are interested in, I would only choose a slightly larger size if you would be more disappointed being smaller than you anticipated and vice versa.  Best wishes! 

Thanks for your question!  If you liked the look of the 220cc sizer, I would strongly encourage you to go with the 235cc implant.  15cc's is only half a shot glass and implants tend to look smaller once they're under the tissue and muscle.  In addition, most women re-operate to go larger, not smaller.  Best of luck!

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

You need to talk to your surgeon about the psychology of breast implant sizing, not just the technical outcome. The concerns you have are universal. Your response to the outcome of the surgery in terms of your satisfaction with the size of the implants is also very predictable. This sizing decision, one of many you will make in this process, from surgeon to price to implant type etc, will make a small amount of difference to your overall satisfaction. This is demonstrable by the number of medical tourism patients where 'the surgeon decided the size by themselves', who are still quite happy.
Regards, Mark.