The smaller the implant, the shorter the recovery time? Wondering if smaller = less risk/pain, & longer lasting results? (Photo)

Honestly, I would advise you to seek out the right size implants for your body and your goals instead of focusing on which ones may hurt less. I think you'll be happier in the long run. Best, Dr. Nazarian

In my experience implants of less than 300 cc placed under the muscle cause very modest pain, with normal activity except exercise within 2-3 days.  Large implants (450 cc and up) cause more stretch, and so the initial recovery is longer and somewhat more intense.  Very large implants increase the risk of implants falling over time, they are easier to palpate, and long term cause more problems. You are anticipating a modest size implant...and I would choose the best size: between 250 cc and 350 cc you should not have any increased problems.  It does not appear from your pictures that you need a lift, but that is best determined with an in person consultation.

Thank you for the good questions.  Overall, I would suggest that you try to get your breasts "just right"; not too big, and not too small.  Also, generally speaking, your thinking is correct; the use of smaller breast implants can be potentially less problematic compared to trying to "push the envelope" when it comes to breast implant selection.

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant type/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. In bra sizers can be useful communication tools also. I have found that the use of words such as “natural” or "B cup" etc 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. The use of computer imaging may be very helpful during the communication process.
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, and the attached link (dedicated to breast augmentation surgery concerns), helps. Best wishes for an outcome that you will be very pleased with.