Is 445cc the right size? Not too small? (Photo)

Thank you for your question and photograph.  I think you are starting from an excellent position and should anticipate a nice result.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing ASPS board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations.  You can even "try on" several of the implants so that you can have a better visual representation as to what they would look like.  Best wishes

Hi.  To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation.  Opinions and preferences will vary somewhat from one surgeon to another surgeon.  Personally I start with the base width of the patient as the starting point for the footprint of the future implant.  Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile.  I go over all of that all in detail with my patients at the time of their consultation.With all of that being said I certainly think that is a reasonable size, but it really comes down to what your end goals are in terms of size.  Reviewing desired postoperative results with your surgeon can also be a helpful way to have that discussion.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area.  He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care, Dr. Howell