I'm stuck between 457-475 cc hp round silicone implants. How many cc's should I go with? (photos)

Hello,There is almost no difference between the two sizes. There is no way to guarantee a cup size, as there is no reliable formula between cup sizes and implant volume. The most important factor to prevent post operative complications that lead to re-operation is biodimensional planning to determine an appropriate sized implant to match your soft tissue capacity. If you find a surgeon to get you to look like your wish pics, you'll have virtually no soft tissue coverage over the medial aspects of the implants, and you will have significant rippling, especially with saline implants.  Keep in mind that you want a good result not just in the immediate future after your surgery, but for years to come. Your budget is far below any ABPS certified/ASAPS member surgeons' fees.  In fact, your budget is below most surgeons' fees that perform breast augmentation, including most of the non-core doctors that unfortunately perform this surgery, including ENTs and Ob/Gyns.  Time and again a corollary has been demonstrated between low prices and high complication rates. You would be wise to wait until you can afford the average cost of breast augmentation performed by core surgeons. Best of luck!

you are sweating about  an insignificant amount of saline.  18 cc is a little more than a tablespoon. I would suggest gel though. you will have softer more natural breasts and less rippling in someone as petite as you. the extra expense will be worth it in the long run.

The best cosmetic result in any particular breast
augmentation patient depends on a variety of factors, including: Your
individual anatomy, desired outcome, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit
at a preoperative visit will help you and your surgeon choose the optimal
implant.
There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 D-DD and a 38 D-DD are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no direct correlation between an implant size or
shape and resultant cup size.There is very little difference in the cosmetic result between a 457 and a 475 cc. implant.
Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest that your plastic surgeon
be certified by the American Board of Plastic Surgery and ideally a member of
the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and
are comfortable with. You should discuss your concerns with that surgeon in
person.
Robert Singer, MD FACS
La Jolla, California