I am currently 32DD and after fuller larger breasts. Will 460cc be too big? Will 420cc give desired result? (Photo)

Hello,My patients usually find it most useful to try on the implant sizers in office with a form-fitting T-Shirt. The difference between 420 and 460 is not huge. Often, my patients are happy that they chose a slightly larger size once healed, however they way you feel about them when you try them on is a good indicator. Talk with your Plastic Surgeon about your concerns so that they can help you through this process.All the best

Hi therei wish you the best of luck with your surgeryif you liked the look of 420cc on you during the consultation, then assuming that the implants are sub muscular or dual plane, you will have a loss of volume of around 10%, so the 460 sounds correct. It's very important that the correct shape/profile implant has been chosen as you don't really want an implant that is wider than your own breast. In the subglandular or subfascial plane the loss of volume is not that great, but things will go south faster with such a big implant. you are not small now and you will get pretty big so I hope the implications  have been explained to you and you have made a fully informed decision.all the best!

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and try
on various implant sizers in front of a mirror to help you to get an idea of
how you will look following the surgery. You should also bring pictures of the
look you would like to achieve, as well as a favorite top to wear when trying
on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr Schwartz