Will 485cc HP make me to top heavy? (5'0/110 lbs). (Photos)

Dear Tiny,    Thanks for posting your pictures and congrats on your upcoming breasts augmentation surgery. From observing your pictures you appear to be A cup size on the right side and small A cup size on the left side.   Full D is a big size, however, when done right it looks very attractive. If your chest circumference measurement in inches is 32, with 485 cc implants you will become 32 DD +. To become 32 full D , you will need implants with volume of 400 cc. If your chest circumference is 34 inches, 485 cc implants will become 34 D +. To become 34 full D , you will need implants with volume of 525 cc.   Obviously, you will need different implants size to correct  the noticeable size asymmetry. Saline implants (my preferred) are easier to adjust the asymmetry.    You have to realize that not all results are the same, because experience, technical skills and aesthetic eye are critical for good outcome. So, do you edue diligence carefully and choose your surgeon wisely.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                   Best of luck,                                        Dr Widder

I appreciate your question
After performing hundreds of breast augmentations, I have found that the size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Implants that are wider than this can be more palpable, fall more laterally overtime and also be more palpable. After that we will then choose the implant volume based on the measurements and also looking at any asymmetries you might have. You should choose a board certified plastic surgeon that you trust to help guide you in this decision. Bringing photos as well can help us to finalize, but please understand that these are of other peoples bodies and your results will probably be different.
Silicone will give you a fullness at the top (upper pole fullness). Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more softer silicone (less cross-linked), if this implant should rupture, it may leak but only into the scar capsule formed. However, the newer silicone in these implants may not leak even when the implant shell is ruptured. 
Anatomic gummy bear implants might be a good choice to give you a more natural look. These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
 Implants, indifferent projections. The easiest way to think about it is they called me in a low medium and high projection or profile. Most of the time I use the medium profile which gives people the best in terms of natural look as well as a little bit of projection. High profile implants are for someone that wants  A little bit more of a fuller look. Low profile implants are better for someone that really wants a minimal extremely natural augmentation. Depending upon the anatomic versus round implants there are also subtle differences  in terms of the amount of projection for each profile. 
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers. I also use a 3D imaging system to allow you to try on a variety of shapes and sizes. I prefer this method over adding volume due to implants being under the muscle.
We will also discuss the possibility of needing a lift along with an implant. This will depend on the amount of ptosis (nipple position) as it relates to your breast, inframammary crease and chest wall. Needing a lift or not will also determine where to place the scar for the incision.  In some cases if the the breast and nipple is really ptotic (low) it might be best to stage the procedure by performing a lift first and then doing an implant at a second stage. This will also allow you to have a better understanding of the true size and shape of your breast.
In order to limit pain from breast augmentation and speed the recovery process I offer patients Botox into their muscles as well as a long acting numbing medication called exparel. 
The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
Dr Schwartz
Board Certified Plastic Surgeon 
#RealSelf100Surgeon
#RealSelfCORESurgeon

Based on your picture you seem to be a great candidate for a breast augmentation the size you chose looks right for you.
Best wishes!

485 cc implants will certainly make your a D cup if that is what you desire.  The size I would consider a bit on the large side, but not to the point of going overboard.

Unfortunately,
you have not told us your bra size but you look small.  485 cc implants weigh over 1 lb each, will
result in breast descent and will probably not fit.  At size 32 or 34, each 100 cc of implant
corresponds to 1 cup size change.  At
size 36 or 38, each 200 cc of implant corresponds to 1 cup size change.  From this, you can compute the volume required
to achieve your desired goal.  Best Wishes,Gary Horndeski, M.D.

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

It looks like your right breast is slightly larger than your left breast. It may take two different size implants to get the ideal symmetry.
I never tell the patient the specific size that I will use. I will ask the patient her ideal size (32D, 32 full D, 34 D etc.) and then create that size during surgery. I have the entire range of sterile sizers (that match the implants) and place the sizer below the muscle...and thens it the patient up while still asleep. By doing that, I can adjust the size of the implant I would use to "create" the full D on your frame. THen, the high profile implant is placed to get the ideal result. 

Breast implant sizing is a critical part of the breast augmentation procedure and we spend a great deal of time assessing the patient and figuring out where the patient wants to be and how we can get her there, safely.I would pose the question how you and your doctor came up with that particular size?  We would need to perform measurements and evaluate your soft tissues and size you in the office, but simply judging by the photos and your height and weight I would have to say that size is a bit on the larger size for your frame.Hope that helps.

Thank you for your question and photographs.  My strong advice is to spend time trying on implants with your plastic surgeon and view computer imaging if available.  Remember that a 200cc implant will increase your bra cup by approximately 1 bra cup size.  Therefore a 485cc implant would increase your bra cup by about 2 1/2 bra cup sizes.  Best of luck.