I’m 5 1/2 ft. 125lbs, is 485cc moderate implant to big? Should I do 445cc? Or HP would be better than moderate ?

When choosing an implant, I encourage my patients to not get too focused on the style or the exact size.  Often the difference in style is only millimeters and volumes changes of less than 50ccs do not often make a significant difference.  I think it is best to focus on an aesthetic result that you like using pictures or 3D imaging, use sizers to establish a range of implants, and then to trust your surgeon to use the best implant during surgery to achieve your desired result.   

Thank you for your question.  I typically prefer the moderate profile implants as I do think that the high profile do look more torpedo like and offer less cleavage.  That being said, with a 445 cc or larger implant I suspect that you will have a very significant amount of cleavage regardless of profile.  Keep in mind that this is a rather large implant for such a petite person.I wish you the best of luck.

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
With regards to your specific question, "too big" is a relative question. The best advice is to respect your BWD. What may seem "too big" to one may not to another. It is important to remember small girls rarely have large breasts. Oversizing can lead to a mismatch of frame which is often a hallmark of augmentation and the opposite of "natural." Without measures, it is difficult to say for certain. I recommend that patients first commit to a profile moderate (subtle) vs. high (dramatic). This will then determine the volume range to be considered. 40 cc is a very small volume differential (approximately equivalent to a shot glass) and unlikely to make a huge difference in outcome (within the same profile). High vs. moderate is likely to be much more consequential.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

hello thank you for your question and provided information as well;..based in your question its difficulted evaluate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

If you have a smaller frame, try to avoid an implant size that may create a top-heavy look. The base width of your breast will help determine which profile (style) of implant is best for you. Also if you prefer a rounder look, then high profile may be right for you. It's difficult to advise you without seeing photos so a consultation in person is best to review your options.Best wishes,Dr.Bruno

It's very difficult to make recommendations on size without knowing what your goals are.  I like to see "wish" photos of breasts that you like and then choose a volume and profile that will get you closest to your desired look.  It's important to have a discussion with your plastic surgeon to make sure he/she understands what you're trying to achieve.

Hello,There is little difference between a 445 and 485 cc implant. Regardless, your anatomy is unlikely large enough to support an implant so large. Crescent lifts don't lift; they only elongate the areola. Further, it forces the surgeon to place the implant via an areolar incision, which increases the risk of implant contamination and capsular contracture, the most common complication of breast augmentation that leads to reoperation. An inframammary incision is optimal for implant placement regardless of any additional procedures like breast lift. You should visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery. Best of luck!

Hi. To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation.  Opinions and preferences will vary somewhat from one surgeon to another surgeon.  Personally I start with the base width of the patient as the starting point for the footprint of the future implant.  Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile.  I go over all of that all in detail with my patients at the time of their consultation.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area.  He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care, Dr. Howell

Dear noahdeluna05,implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery