A cup desiring D cup, Is 495 cc going to make me look too top-heavy? (Photos)

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Dear ayleazhane,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

Hello, thank you for the question and sharing your photos.  Many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter are important in selecting the implant size. The method I have found most useful and is being done by many plastic surgeons is trying a variety of in-bra sizers. Keep in mind that the breasts will look slightly smaller once the implant is placed inside the body as opposed to placing it under the bra, so I always tell my patients to go slightly higher than the in-bra sizer they like. For example, if you like the 475 cc, you will probably need a 500 cc implant. In combination with several other measurements that your surgeon will do, the final implant volume is selected. Another helpful tool, is to look at before and after pictures of your surgeon's results and knowing what implant size was used in each case. This will give you an idea of the kind of results you can expect. Other things to discuss in your consultation are type of implant (saline vs. gel), location of incision and implant pocket (below or above muscle). Best,
Pejman Aflaki, M.D.

Johns Hopkins-trained plastic surgeon