Looking at your photos, I would agree with your surgeon and the fact that he has made a wise judgement in not using too large implants. In general, the size of implants you can have and yet look natural is dictated by the dimensions of your chest and your breast envelope. If you only wanted to ...
While 20 lb.'s may not affect the appearance it also may. People gain/lose weight in different areas of their body asymmetrically. If you tend to lose your breast volume when you have lost weight in the past then this may happen again. We usually recommend to try to scheive stable desired weight...
It is very common to have some small areas of delayed healing, or 'spitting sutures' after this type of procedure. We are pushing your skin to its limits by combining a tightening procedures (Mastopexy or breast lift) with a stretching procedure (Breast Augmementation.) I would give...