I wanted 400cc but my doctor said he could only fit 325cc. That doesn't seem right. Could he have gone bigger? (Photo)

With your history of larger breasts previously in your life- I am not sure why you did not get what you wanted. Your photos seem to indicate more than adequate amount of skin in order to accommodate the larger implants that you requested. 

There is no such thing as too large for you.  You in fact have a perception of what you want to look like.  The surgeon cannot tell you what you like.  It is as ridiculous as them telling you what your favorite color is or picking out your new car for you.  They can guide you, but if your perception and their rigid, non-scientific approach don't mesh, find another surgeon.The best way
to determine the size that fits your personal perception of the perfect breast
is to try on sizers. This way you can see how they fit on you, how they add to
your current volume, and whether they fit your frame. Although the surgeon can
guide you, only you will be able to tell what is the right size. Try on sizers.
HP implants, which are a more modern shape than moderate profile
implants, fit most women better. They have a more appropriate base diameter for
the average women's chest. Mentor HP profile saline implants have base
diameters that range from 8.8 cm (very narrow) to 13.8 cm (moderately wide).
The majority of women in my practice have base diameters in the 11 to 13
cm range. The HP implants fit them well. The moderate implants have
much wider base diameters for the same volume (often in the 14 to 15.6 cm
range). These implants are too wide for most women that I treat. So
when the base diameter is measured and correlated with the diameter of the
implant, it is most often necessary to use HP implants to achieve the volume
the patient is requesting. At the volume selected, my patient's base
diameters are too small for moderate profile implants. Measuring a diameter and
then telling the patient what volume they can have (in high, moderate or
moderate plus implants) in my mind is backwards. The patients should be
allowed to choose the volume. Then the surgeon carefully considers the
base diameter, projection, profile, manufacturer, and fill material that will
achieve the patients goals of size as well as qualitative look (natural,
intermediate, or bold upper pole fullness or projection), all the while taking
into consideration the patient's anatomic features that will affect the
outcome. HP implants can be made to look very natural or very augmented,
depending on where in the range the implants are filled to achieve a particular
volume. At the low end of the fill range, HP implants do not have the upper
pole fullness that most people associate with the fake look. On the other hand,
a fake over-augmented look can be created with a moderate profile implant if it
is overfilled (a common practice for surgeons that commonly use moderate
profile implants). In addition, too wide an implant will put the volume past
the anterior axillary fold, which in my opinion, looks more fake than upper
pole fullness. So there are many factors that need to be considered.
The experience of the surgeon and the degree to which they explain the
options to you is of utmost importance. Obviously all of my patients look
at photographs and we evaluate the look they are desiring in great detail.
For me, high profile implants are the first choice. I rarely find an
indication to use moderate or moderate plus implants. This does not make me a
better surgeon, or a worse surgeon. Look at the outcomes and judge for
yourself. The outcomes should stand on their own. The subtlety in
the final outcome is not achieved by which profile implant is used, it is
determined by the skill in the creation of the pocket, the choice of volume,
and where in the range the implant is filled. Don't let the doctor tell
you what would look good on you. They cannot tell what you perceive to be
the best size.

Hello, usually it is possible to insert the implants that were requested in the preop consultation, but occasionally the tissue is too tight to accommodate the larger implants.  It is unclear why your surgeon would insert smaller implants unless they felt this was the only option.

Hello,Unfortunately no one can answer that question with absolute certainty. I can say that I prefer to systematically determine the best size implant for my patients by obtaining biodimensional measurements to pick the desired implant's size and shape before going to the operating room.  That way there is no confusion, disappointment, or uncertainty. You have a lot of healing to do, and you will drop and fluff over the next few months, making your result more impressive.  Stay positive and you should have a nice outcome!Best of luck!

Hello,The implant sizes which can fit in your tissue and are a match for your breast base width are limited. You will need to discuss your measurements and considerations for your implant choice with your Plastic Surgeon. Remember that they will drop and fluff over the next 2-6 months and could look larger as you heal.All the best

Unfortunately, it's hard to answer your question without conducting a pre-op in-person exam and taking certain breast measurements. At this point, best to give yourself adequate time to heal and if you're not happy with your final size, you can always ask for an exchange with larger implants once the breast tissues have stretched some. Good luck!

Your surgeon, who has measured you, will be in the best position to discuss the maximum size for your tissue. Give yourself time to heal, let the swelling subside, and your tissues relax. After about 6 months from surgery, if you are not satisfied with your size, you can probably go to a larger implant.

I am sorry to hear about your disappointment after breast augmentation surgery.  You will find, that online consultants will not be able to help you when it comes to determining whether or not larger breast implants have been utilized. Generally speaking, patients undergoing this operation should understand that their starting point anatomy will limit how large of a  breast implant can be utilized and that their plastic surgeon's first responsibility should be safety and avoidance of complications.  I am sure that you chose your plastic surgeon for good reason; I see no reason why you should doubt his/her judgment… Best wishes.

There are measurements that plastic surgeons take that will determine a range of implant sizes that will fill your breast nicely. We don't have those measurements or the benefit of examining you. Often (at least in southern California) the "ideal" size is usually much less than the patient wants. There are risks associated with using larger implants that include visible rippling, double bubble deformity, thinning of the skin and breast tissue and bending of the ribs beneath the implant. Sometimes the tightness of the skin and muscle limit how big of an implant can be put in at a given time and serial augmentations may be necessary for very large implants. The best person to discuss this with is your surgeon.