Biggest Size for First Breast Augmentation?

A competent plastic surgeon will usually take measurements of your breasts. With this data he or she can then determine the maximum size implant that your body can handle. Sometimes  this is not as big as a woman desires, But following anatomic guidelines helps minimize complications.

This depends on your natural body measurements, including breast width and height. After taking these measurements and discussing your expectations with your experienced board certified plastic surgeon, you can then proceed to figure out what size would be best. There are no limitations on size, however please note that settling of your implants after surgery can take longer with larger implants.

Thank you  for the question.

Unfortunately, it is possible to give you good advice without direct examination or viewing pictures.

Your description of “saggy breasts” suggests that breast lifting may also be necessary. In regards to breast size goals  clear communication with your surgeon will be critical.

I find the use of goal pictures to be very helpful.  I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" 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 breast 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. 
 

I hope this helps.