I'm on the petite side and was wondering if 475cc or 495cc is too big for me? (Photo)

Hi Ba,See the excellent answer below.  I agree with you, 475 or 495cc is really getting up there is you are 4'11".  First and foremost the implant should fit the dimensions
of your breast and tissue cover. Here are a few tips for you because this is perhaps
the hardest decision for a patient to make, as well as the surgeon. Also see
the video attached to my answer. Balancing
the implant to your over-all body shape and tissue cover is essential.The
main thing is to have the diameter of the implant fit the diameter of your
breast "foot print". Cup size estimates can
be misleading, but I generally advise patients that they will experience an
increase of approximately one cup size per 200 cc. You can try on implants in
the office by placing them into a special bra.The implant is also flattened
somewhat when under the muscle, so it is a good idea to bump it up a bit. Approximately 50 cc (1-2 oz.) is added to the final volume to account for
flattening of the implant in the partial sub-muscular pocket. Once you decide
on a size you like, then add on about 25-50 cc, because in real life the
implant will be flattened slightly by your tissues.Multiple measurements need to be taken to fit
an implant to your exact anatomy. Have your surgeon's office show you the
charts of the implant dimensions for the various profiles of silicone and
saline from the manufacturer. Then you and your surgeon can piece
together the puzzle by matching your measurements, with your wishes, versus
your tissue cover and the available implants to arrive at a surgical
plan.Keep in mind larger implants tend to
have more problems over the years.Since
silicone implants wrinkle less than saline implants, they might be your best
bet.You can
also approximate this at home by measuring out an equivalent amount of rice
placed into a cutoff foot of old panty-hose, and put this in your bra.Wear this around the house for a while, and
see what you think.Implant size must
square with assessments of tissue cover, breast diameter, and chest wall width.
Multiple measurements of your chest wall are taken (seven in total). Implant
size selection has been an issue of much discussion. Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape. A photo album of patient pictures is maintained to assist them.
These photos ultimately help in determining where the implants will be placed,
since they can be shifted inside (to provide more cleavage), to the outside, up
or superiorly, and down or inferiorly during surgery. In determining the final
size selection, I always place the highest priority on the preoperative
measurements and potential tissue cover. Then, the patient’s verbal requests
are factored into the analysis.Our
average size over the last 7,000 implants was 350. 90%
of our patients wish they were bigger a year after BA.I t is like your mind
incorporates the "new you" into it's self-image over a period of
time. We use
the quick recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick (Flash) Recovery Breast
Augmentation articles from peer-reviewed surgery journals.Be sure
to see only a board certified plastic surgeon (by ABPS - The American Board of
Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic
Plastic Surgery) and or a member of ASPS (The American Society of Plastic
Surgeons). Also, ask if the PS has an established, high volume breast
augmentation practice, performing several hundred breast augmentations each year.
Be sure the PS has been in practice for a while, about 20-years might be a good
gauge.Does the PS offer all three
incisions?Discuss the implant type (gel
or saline), shaped "gummy bear" or non-shaped, smooth or textured,
implant pocket (over or under the muscle) and the "quick recovery
approach."Ask to see their before
and after photos if you didn’t see any on their website. If they are
experienced, they should have several 100 breast implant patients for you to
view. I would also recommend that your doctor offer you the chance to
talk to past patients who would be happy to discuss their experience with
you. You need to feel comfortable, so make sure the environment is safe
as in an accredited surgery center. Also, ask a prospective surgeon if he or
she has ever published journal articles in professional peer-reviewed journals,
which they can provide you.                         All the
best, “Dr. Joe”

With breast augmentation, one has to
determine if they want to “look real or fake”. In general that size (475-495cc) is large for someone that is 4’11”.  If you are slowly loosing weight, you may
want to defer surgery until your weight loss has stabilized.  At times, large implants may make patients
look top heavy.  This needs to be discussed in detail with your plastic surgeon at consultation.

There are good implant sizing systems that will allow you to "try on" implants that you are considering. There's no reason to leave this part of the decision-making to chance.

implant choice is based on breast shape and dimension.we can almost fit any implant to any patient. this isn't a good strategy to implant malposition ( too high or too low)in your case, the volume suggested will give better definition. the only thing, if the breast are saggy ( ptosis) the implants need to be low positioned. this will prevent the artificial look.a good bra support will help filling the upper breast.good luck

The best way to answer your question and resolve doubt is an in-office consultation with trying different sizes implants on. This is definitely worth of your of your time. Good luck.

Based solely on the one photo you posted, you likely will need a lift. AS for the implant volume, you really need to be seen in person.  Best of luck.

What  you can accommodate, and what you want may be two different things. I think that that size is quite large for your frame. You need an in person visit with a board certified plastic surgeon who will spend time with you and discuss your expectations and put some implants into your bra to get an ideal of how big they will be. Also remember -- the larger the breast the more they sag over time. Upper pole fullness is best achieved by a push up bra. Good luck.

I would recommend that you lose the weight, if this is realistic for you, before having surgery to achieve the optimal result.  In terms of the sizing, given your petite stature, one has to wonder whether the implants you want, will produce a voluptuous look or be too big for you.  Interestingly, most patients find "side boob" to be unattractive and unnatural.

Good questions. Also, good job with the weight loss; achieving your long-term stable weight prior to proceeding with surgery is a great idea. Keep in mind, that breast lifting may be necessary to achieve an optimal outcome.Generally speaking, much of the final “look” achieved after breast augmentation surgery depends on several factors:

1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 

2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.

3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.

4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” or "artificial looking" etc. means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. I hope this, and the attached link (dedicated to breast augmentation concerns), helps. Best wishes.

If you are the one on extreme right , its difficult to day.. because you are also overweight and one has to see you in your entirety to arrive at the size. Since you have already been examined by a plastic surgeon and if tou have shown him the other pictures and discussed your goals , then an online consultation will not be able to offer you better advise. As such the size seems big to me considering tour height alone.