Is 450cc too Big for Me? (photo)

At size 34 each 100 cc of implant will correspond to 1 cup size change.  If you are a 34 AA, 450 cc implants will take you up 4 1/2 cup sizes, which is approximately between a D and DD.  You have very little breast tissue and you will look artificial with that size implant.  I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue to increase upper pole fullness and cleavage.  Aligning the areola, breast tissue and implant high on the chest wall over the bony prominence allows the use of a smaller size implant.  The best implants are silicone gel placed retro-pectoral since they look and feel more natural.  The smaller the implant the less complications and less descent over time.

Best Wishes,

Gary Horndeski, M.D.

I personally would not go with 450 in someone like you, that being said I am a conservative breast surgeon and have a strong preferance for a more natural look, i would have suggetsed 330

You have nice shape to your breasts and they face forward with a pretty, natural width and natural distance of your cleavage.They are very round so a round implant can give a nice, round breast, especially a high profile, round implant which gives more upper pole fullness. This may be more than you might want. As narrow as you are through your chest, you will be larger than a full "C". You mentioned that you are going with a shaped high profile implant. Is this a form stable one then? This is a nice style in taller women and can give the breast a nice slope in the upper pole. I have a Vectra 3D imaging system that takes away a lot of the guesswork for  the patient and would recommend you do this. I need to examine you in order to determine which implant style and size would be ideal. Remember, there are tradeoffs between implant types and styles.