What is considered a large breast implant? What is considered a wide chest? (photos)

Based on your pictures, I agree that wide implants will certainly be required as the width of your chest is wide as is the base footprint of the breast itself.  There is no proper definition of what constitutes a "large" implant. It is the size of the implant in proportion to the width of the chest or torso that determines ultimately the "look" in terms of size. In the same way there is no proper definition of what is a large chest. Every person's anatomy is different. It is the job of the plastic surgeon to understand and take each individual's anatomy into consideration when choosing an implant. The same "large"  implant will look smaller on someone who is 6 feet tall with a wide chest versus someone who is 5 feet tall with a narrow chest. Although an online consultaion via skype or facetime is a perfectly good way to engage in a consultation, which our practice has done in the past with other patients, ultimately it is important that you are seen in person at least once before surgery so that measurements of your breasts be taken to determine the appropriate size implant to help meet your goals and ultimately the "look" that you are looking for. In our practice, once measurements are taken, external sizers are placed in a bra in the office. This will allow you to see how large you will be with the implants in place. I would recommend being seen by a board certified plastic surgeon who performs many cosmetic breast procedures in order to ensure your safety and success with this procedure.

Best wishes,

Dr. Ravi Somayazula  

Thank you for the good question.  Generally speaking, I do not think that it is helpful to individual patients to classify breast implants as "small or "large".  For example, 400 breast implants on a very petite patient may be too "large" whereas 800 cc breast implants on a bigger frame may be too "small". In other words, arbitrary statements such as "breast implants larger than 600 cc are considered large" are not helpful when it comes to clinical practice.
 What IS important: appropriate selection of breast implant size/profile to safely achieved patients aesthetic goals.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
 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.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. For example, I have found that the use of words such as “natural” or "C or D cup" etc means 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, the use of computer imaging has been very helpful during the communication process, in our practice.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, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.