Is 400cc too big without looking "busty"? 5'3, 102lbs, nursed 4 children 34 fullA/small B. I thought 300-350cc. (Photo)

It appears as though you've found the right implant.  As long as you like the look when you place samples of the implants in your bra then you've made the right choice.  Good luck!

At size 34 each 100 cc’s of implant corresponds to 1 cup
size change.400 cc implants will take
you up 4 cup sizes from a small B to small F.After reviewing your photographs, it is more important to reposition and
reshape your breast.Your breasts have
descended down the chest wall and your nipples are too far apart.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.Through the same incision, implants can be placed.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.22% of women who undergo
breast augmentation alone require revision within 2 years because they are
dissatisfied with the result.Frequent
causes of dissatisfaction are over implantation and not performing a lift when
needed.Best Wishes,Gary Horndeski, M.D.

This is perhaps the hardest decision for
a patient to make, as well as the surgeon. Cup size estimates can be
misleading, but I generally advise patients that they will experience an
increase of approximately one cup size per 200 cc. You can try on implants in
the office by placing them into a special bra.Approximately 50 cc (1-2 oz.) is added to the final volume to account
for flattening of the implant in the partial submuscular pocket. Once you
decide on a size you like, then add on about 25-50 cc, because in real life the
implant will be flattened slightly by your tissues.Multiple measurements need to be taken to fit
an implant to your exact anatomy. Have your surgeon's office show you the
charts of the implant dimensions for the various profiles of silicone and
saline from the manufacturer. Then you and your surgeon can piece
together the puzzle by matching your measurements, with your wishes, versus
your tissue cover and the available implants to arrive at a surgical plan.Keep in mind larger implants tend to have
more problems over the years.Since
silicone implants wrinkle less than saline implants, they might be your best
bet.You can also approximate this at home by measuring out an equivalent
amount of rice placed into a cutoff foot of old panty-hose, and put this in
your bra.Wear this around the house for
a while, and see what you think.Implant
size must square with assessments of tissue cover, breast diameter, and chest
wall width. Multiple measurements of your chest wall are taken (seven in
total). Implant size selection has been
an issue of much discussion. Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape. A photo album of patient pictures is maintained to assist them.
These photos ultimately help in determining where the implants will be placed,
since they can be shifted inside (to provide more cleavage), to the outside, up
or superiorly, and down or inferiorly during surgery. In determining the final
size selection, I always place the highest priority on the preoperative
measurements and potential tissue cover. Then, the patient’s verbal requests
are factored into the analysis.Our
average size over the last 6,000 implants was 350. Be sure to see only a board certified
plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a
member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member
of ASPS (The American Society of Plastic Surgeons). Also, ask if they have an
established, high volume breast augmentation practice, performing several
hundred breast augmentations each year. Ask to see their before and after
photos if you didn’t see any on their website. If they are experienced,
they should have several 100 breast implant patients for you to view. I
would also recommend that your doctor offer you the chance to talk to past
patients who would be happy to discuss their experience with you. You
need to feel comfortable, so make sure the environment is safe as in an
accredited surgery center. Also, ask a prospective surgeon if he or she has
ever published journal articles in professional peer-reviewed journals, which
they can provide you.All the best,
“Dr. Joe”

Thanks for your question. Implant sizing should be based on physical requirements as determined by your surgeon, patient's anatomy and the patient's desires. In your cae you should consider compromising.I would suggest you go with a 375cc, smooth silicone gel, moderat + profile to obtain the most natural results. Good luck

Thank you for your pictures. A 400cc implant is not unreasonable. It's going to be based on your measurements/examination and really your surgeon's judgment. At the end of the day you want to make sure that you a breast augmentation that you're satisfied with. Most women really would like to be fuller rather then not.

It's easy to get hung up on "cc's"(350 vs 400).The best way to decide is to choose a photograph of the breast size that you like of a patient with your body-type.Another good way is to use computer imaging methods that are available.

I think going to 375 would be fine.i think the choice you need to make is do I want to err on the side of too big or a little too small.At 375 you will look awesoem and can't go wrong.

Very hard to give over the internet exact opinions. My guess is 400 cc is a good choice. Maybe seek more ion person examinations and opinions... 

Thank you for the question and pictures.  You are starting at a good place and should have a very nice outcome with breast augmentation surgery. As you consider breast augmentation surgery, the most important decision you make is NOT size/profile of breast implant, but selection of plastic surgeon. 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.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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. I have found that the use of words such as “natural” or "C or D cup" or "busty"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.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. The use of computer imaging may be very helpful during this communication phase.
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.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link (dedicated to breast augmentation concerns), helps.  Best wishes.

There are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX