Should I go for 365cc, 385cc, or 415cc? Currently 5'5 105lbs. (photo)

Hello and thank you for the question and sharing your photos. An in-person consultation is needed to give you a useful advice and I would suggest that you discuss this with your plastic surgeon. Many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. Use of 'goal pictures' is  also an effective way to communicate your goals with your plastic surgeon. Keep in mind that the difference between those mentioned implants are very minimal. My best advice is that you communicate your goals and aesthetic ideals with your surgeon as clearly as possible and trust your surgeon's skills and abilities to deliver what you are looking for.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

An ABPS board certified plastic surgeon will be able to guide you to the correct size implant for your measurements and desires.  Measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. If you want more volume, the implant profile can be shifted from a moderate profile implant to high profile (HP) implant. None of the modalities to approximate final results from breast implants are 100% accurate; they merely facilitate the patient and the board certified PS concurring on the size and type of breast implant which will come the closest to reaching the patient's goal. My patients prefer to try on sizers under garments they typically wear to determine if they fit as expected and help allay some of their trepidation associated with this decision. When you consult again in office with your PS, ask to try on a profile bra with silicone moderate and HP 365cc, 385cc, and 415cc sizers under garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected.  You probably will notice little change between the three sizes; you typically do not notice any thing under 50cc increase.   I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.

Thank you for your pictures and questions. Implant sizing is a personal choice and something your surgeon should be helping guide you through. Almost more important that choosing the implant volume is making sure the implant width matches your anatomy and is not too wide for you. You are very petite and you also have very wide spaced cleavage with eccentric nipple position. This needs to be addressed and discussed prior to surgery as maneuvers to correct this may be fraught with complications and poor outcomes (see another answer I provided earlier today). In my practice, we use a 3-D imaging system (Crisalix) to allow patients to see the different sizes on their individual frame prior to surgery to help them make an educated decision. That being said, keep in mind you are talking about very small changes in volume, 20-30 cc is between 1-2 tablespoons of volume. If your biggest concern is choosing too small, then likely you would be best served by choosing the largest implant as long as it fits your anatomy. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery