Not sure if I should get 450cc; 485cc or 505cc silicone moderate plus? (Photo)

Dear Beautiful9091,
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

Many factors enter into a decision for the best implant in a given individual. A proper decision requires an in office physical examination. Take the requisite time to choose your surgeon then allow him or her to guide you through the process.This will allow far greater success than trying to chose the implant yourself using online opinions from surgeons with limited information.

Thank you for your question.  If your overall goal is to look proportionate and natural, there are many ways your surgeon will help guide you through this process.  For example, a thorough in-person consultation may including taking accurate measurements and assessing your overall skin tone which would allow the surgeon to recommend a range of implant profiles and sizes that suit your frame.  It is difficult to guarantee a specific cup size as each bra manufacturer has differing size standards.  Part of the consultation process may include trying on sizers.  This would give you a general idea of your size after surgery.  @yorkplasticsurgery