I'm getting a subglandular silicone gel 450 cc implant and wanted to know if my breast would handle that size... (photo)

Subglandular
450 cc implants would be a big mistake.I recommend a new technique called Breast Augmentation with Mini
Ultimate Breast Lift™.Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to increase
your cleavage.Aligning the areola,
breast tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed.Best Wishes,Gary Horndeski, M.D.

Subglandular implants have a higher rate of capsular contracture, and over time, will look less natural in the upper pole due to the sharp demarcation from your chest wall to the implant. A dual plane approach would give muscle cover over the upper part of the implant, the advantages of a submuscular implant, and should allow filling of the lower portion of the breast.  Regarding size, that is best determined in person, but 450cc would probably work.

Based on your photos I think that the implants will fit.  However, subG placement has a higher Capsular contracture rate and with time they would droop. I would recommend placing the implant behind the muscle. 

There are quite a few red flags in your question set that would concern me if I was your surgeon. Subglandular silicone implants: have the highest rate of capsular contracture of all possible options450 cc subglandular implants: are almost certainly too big for even tight skin envelopes to handle effectively over time, let alone in one that is already showing signs of ptosis; you have mentioned that you are afraid of a ball in sack effect, but are choosing the most likely scenario that will cause such an effect.I would highly suggest either considering a smaller implant and also placing your implants under the muscle for a more predictable and long lasting result. 

Thank you for the pictures. It is hard to tell how she will respond to breast implants. Based on the picture I think that you should be able to handle that volume. Best way to get a true assessment would be to have an in-person consultation with a board-certified plastic surgeon.

At your height  and looking at your photo a 450 is probably possible. Your surgeon will measure your breasts to make sure it will fit and make a recommendation of of implant style and shape. Good luck.

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

It is difficult to say without seeing you in person and evaluating your chest appropriately in person.  It is possible that you might be  a candidate.

Hi Pandora,well 450 cc subglandular would fit.....at the beginning, and bring you to a full D cup.  but later, i.e. after children or in a couple of years, you will be doomed with drooping, stretching of the skin, palpable implant, larger/stretched areola, back pain, etc... and then you will need for sure revision with a lift.my guess according your pictures, is that you could get away with  smaller submuscular implants, no lift.please consult with a board-certified surgeon with experience in breast surgery.good luck,Florence Mussat

Yes 450 cc could be placed. But I might recommend 20 pound weight loss prior to surgery. This would allow the surgeon to see if you may need  a lift..