What profile and CCs would best fit my frame? (photos)

Thank you for your question and photographs.  My strong advice is to revisit your plastic surgeon and spend time trying on implants.  During this consultation you may have the opportunity to view computer imaging if available.  Remember that a 200cc implant will increase your current bra cup by approximately 1 bra cup size.  Best of luck.

Thanks Bethy Centeno for your question. You should be seen and examined in person to determine the ideal breast implant size, although 400cc doesn't seem like a lot to you, To ascertain the ideal implant size for your particular requirements and body type, it is imperative that you speak with a licensed cosmetic surgeon.
I can provide you some broad information, though, to help you comprehend the variables that affect implant size choice.
Body Dimensions:

Important factors to take into account are your height, weight, and frame size. While a smaller frame could work well with smaller implants, a bigger frame can frequently hold larger implants. Your shoulder breadth and ribs can also affect the final appearance.one of the most important factors is the dimention of the breast.
Think about the desired level of projection and volume. Consider how you would like your breasts and the rest of your body to be in harmony and balance overall.
Your current breast tissue volume can help determine the necessary implant size to achieve your desired result.
Resolving Your Issues:
Concerns over the size of 400cc implants are reasonable, but it's crucial to keep in mind that the outcome may vary depending on a number of variables, including as implant location, form, and how your body reacts to the treatment. Recall that the objective is to attain a result that boosts your self-confidence and is both natural and visually beautiful. You may make wise choices and get the results you want by collaborating closely with a skilled Board-Certified Plastic Surgeon.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

Thanks for your question and posting photos for reference. 
It is difficult to tell what size implant would be recommended for someone based on photos alone. An in person exam is necessary to understand the patient's tissues and anatomy. 
That being said, based on your base width measurements, a variety of implant sizes may fit you well but it depends on the type of look you are going for. The most useful thing may be to try on implants in the office to "size" yourself and see what you like best. That is usually most helpful, though some offices also do 3D sizing with a computer simulation and that can also be quite helpful. 
Best is to try on as many different sizes as necessary in order to get comfortable with choosing which size you like the best. Then, based on your measurements the surgeon should be able to pick out a size which matches your anatomy and goals the best. 
Best wishes, 
Rohit Jaiswal, MD 
Plastic Surgeon; Las Vegas, NV 

Thank-you for your question.
Choosing the correct breast implants may seem overwhelming due to the options available for implant material (silicone or saline), placement (under or over the muscle), implant size and shape. Treatment plans are individualized for each patient based on findings during the consultation to meet your goals. 
Selecting the correct implant size and shape is among the most important decisions in a successful breast augmentation procedure. Placement of the identical implant will not produce the same results in all patients due to differences in:
1.Dimensions of the breast 
2.Diameter of the chest 
3.Volume of breast tissue 
4. Height and weight 
5. Breast shape, including breast ptosis and asymmetry
I rely on 3 methods to advise my patients:
1. Dimensional planning 
2. Gel implant sizing 
3. 3-Dimensional Vectra imageing system.
At the time of consultation, measurements are taken allowing for dimensional planning to select the implant which best fits the base diameter of the breast. Gel implant sizing is performed to allow you to visualize augmentation the with the various sized implants. Vectra 3-D imaging has been a very important method in my practice in selecting the correct implant size and shape as it allows you to see what you will look like following augmentation with any of the available implants. I would recommend a consultation with a Board Certified Plastic Surgeon
Best regards, Andrew Lyos MD, FACS

Dear Bethy Centeno,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

Although it's very difficult to recommend size without seeing you in person, 400 cc in Silicone or Gummy is reasonable for your body with those measurements. However, we use actual implants for filling in your bra on your pre-op day to determine exactly what fits your desires. Please keep in mind particular cc's in saline give quite different results in size vs. silicone or gummy. It's best to see us in person.

In the end, the best way to plan your breast augmentation is to have a thorough discussion with your surgeon to align your expectations with what is technically achievable and appropriate.  Sizing is important and choosing the right implant in terms of volume, shape, and projection should be a joint decision between you and your surgeon to maximize the likelihood that you will be satisfied with your procedure.  You need to be comfortable with your implant choice before proceeding.  There are modalities that your surgeon may have access to, such as sizers in the clinic, or computer imaging, which may help you see how different implants may affect your outcome.  
As always, seek proper consultation before treatment and best of luck!

To answer your question about cc, you first need to take into account what's known as your base width diameter.
Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter’’ or BWD for short.  For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range. 

400 cc on a woman with a BWD of 10 cm is very different than 400 cc for a woman with a BWD of 15 cm. On one it may be enough volume, and for the other it may be much less than the max she can safely go. 

As far as the placement of the implants, placing them under your muscles - this is still the most popular technique for a variety of reasons, one of the biggest advantages is that it prevents rippling and it also hides the implant better. It is probably still recommended to replace the implants under the muscle, but a discussion of your goals during the consultation will help determine the final position.

Regarding sagging, whether you have implants or not, aging, pregnancy and breastfeeding will do things to your body. When you’re pregnant, your body releases more hormones. You’ll gain weight. Your skin will be stretched by the pregnancy weight and lose some elasticity.  And after childbirth and breastfeeding, your breast will deflate and your skin will be looser. 

I hope that answers your question on size. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant”.

So, what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Thank you for the question and pictures.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  There seems to be is a moderate amount of breast asymmetry and the use of different sizes of breast implants may help to improve overall breast symmetry.   I also think that your goal photograph is realistic understanding of course that goal photographs are communication tools not guarantees of exact outcome.It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
 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. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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” etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”.
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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
 
I hope this helps. Best wishes for an outcome that you will be very pleased with.

It would be really pertinent to have a full consultation with breast measurements taken. Using this information, your plastic surgeon can help you chose the appropriate implants and the " look" you are going for and advise you on other adjunctive procedures to give you your desired look. Good Luck!