I'm 5'1, 110 lbs, and small B cup. Will a 265cc be too big or fake looking for my petite body? (photos)

Hi, it sounds to me that you are on the right track!  Very reasonable.  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 7,000 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. Be sure the PS has been in practice for
a while, 20-years or more might be a good gauge.Does the PS offer all three incisions?Discuss the implant type (gel or saline),
shaped "gummy bear" or non-shaped, smooth or textured, implant pocket
(over or under the muscle) and the "quick recovery approach."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”

Hello! Thank you for your question. In general, implant size does not
correlate with bra cup size. The cup size itself will vary from
manufacturer to manufacturer as well as who is doing the actual
measurements. Thus, cup size is never a reliable indicator for your
breast size. I typically encourage my patients not to communicate her
desires in cup size but more on the actual look and appearance.
However, the increase you state should give you at least a cup size
increase.  The implant style/projection will also influence this factor.  Given your photos, consideration for the anatomically-shaped silicone "gummy bear" implant may be a nice option for you.Good communication between you and your surgeon of
your expectations is warranted - choosing your surgeon wisely is the
first step. Discussion of your wishes and having an honest and open
dialog of your procedure is mandatory (e.g, implant type, incision,
placement, lift, etc). I have found that photographs brought by the
patient is helpful to get a visualization of the appearance you wish for
in terms of size, shape, fullness, etc.  Preoperative sizing may be available and helpful to both you and your surgeon.   In addition, your surgeon's
pre and postoperative photographs should demonstrate a realistic goal
for you. Once this has been accomplished, allow your surgeon to utilize
his/her best medical judgment during the procedure to finesse the best
possible result for you after preoperative biodimensional planning and
fitting the right implant for your breast width. Hope me that this helps! Best wishes for a wonderful result!

I think based on the photo and physical attributes you submitted that the 265cc will let you achieve a C cup and not be too big or fake. I use 250 cc as a mark to raise a cup size up one cup….but never guaranty cup size as bras are cut different. Try the implant on in a soft bra and see if that is right for you. You PS should have access to trial implants.