Is my BWD too large for the recommended implant size? (Photos)

Dear danihrubi,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD

For the best answer it is always best to have a Plastic Surgeon measure you and go from there. Seems you will get good results though. Good luck

Have your plastic surgeon use dimensional planning and directly measure your breast width to determine how big you can go.  If moderate profile implants are too wide, you may be able to fit a high profile implant of a larger size. Speak with your plastic surgeon who should measure you in planning. Dimensional planning and computer imaging to preview your results are keys to your success/satisfaction.  Your plastic surgeon can help you to choose an implant size that will not cause complications. Best of luck!

Thank you for the question and pictures.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. 
 There are no hard and fast rules when it comes to diameter of breast implant versus diameter of breast (band width). In other words, these measurements are useful but are only one of the many factors come into play when it comes to selection of appropriate breast implant size/profile.  Remember that plastic surgical procedures are both art and science;  different plastic surgeons will have different techniques and sense of "artistry".
Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
 Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.

There are lots of factors that determine  best implant width for your breasts. We often think of a 14.8cm breast width as having 1 cm of tissue medially and 1 cm laterally(depending on the thickness of your tissues), leaving you room for an implant that is approx 12.8cm. You could likely go wider than this as long as you are willing to accept that this may lead to less coverage of your implant with your breast tissue, and make the implant more palpable. Your nipples sit lateral on your breast so you would not want the implant to sit more medial (to give you cleavage) than it is on the Vectra picture or your nipples will point out to the sides. I often use this visual on the Vectra to show patients why I can't position the implant more medial to give them cleavage. A wider implant would give you more fullness in both directions, so you would need to accept more side boob to get more cleavage.