I'm a 40C and I want to be a full D. What size should I get? (Photo)

 It’s a little difficult to tell from your photos but I would give it more time. It looks as if they need to settle a bit more from your sideview and when they do, you will gain in cup size. But 550 mL should be more than enough to get you from a C to a full D. However you most likely will not get the shape shown in the photos…

Dear Lachina89,
Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You are too early at this point to tell what cup size you are going to be.  It takes some time for the implants to not look so flat and to fluff out.  At about 2-3 months you would be able to wear a regular bra and at that point you will be able to assess what cup size you are.In my practice we use several parameters to get my patient to the "look" they want.  We dont discuss cup sizes because cup size is so variable between different manufacturers that it is almost impossible to predict.I would wait until you are 4 months out from your surgery and then assess your results.  If you want to go bigger, that would be time and I would say you have to at least go up 100 cc to see a difference in look.  To go up another cup size perhaps, you would definitely need more and that can be determined with an in office exam and assessment.Hope that helps.

Good morning!I would have you try on sizers here in the office over your current implants, but my initial guess is 800cc, silicone, and probably High Profile!

Larger women such as yourself require a lot more volume to  create appreciable differences and you can certainly go larger but achieving your wish picture is asking for a little too much and you would likely have to go with saline implants that can be filled quite large to achieve that.  Sizing with external sizers have been accurate in my career but I've always added 10% to the sizer volume when choosing the implant volume.  The largest gel implants are 800 cc's.  Would that bump up be enough for you?  If not, then you have to go with saline and accept all of the shortcomings that saline has.

Thank you for the question.  Despite your good description of body type and goals, online consultants will not be able to provide you with specific enough advice to be truly helpful.  Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.
 
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:


1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.


2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "D or DD cup"  etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.


3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.

Thank you for the question and photos but size is an individual decision based on measurements and putting implants in a bra till you see the volume on your chest that you like.  Then your surgeon can pick the best shaped implant for you at that volumeDr Corbin

It soiunds like you do want to go to an XLbreastimplantsdotinfo. Many plastic surgeons are reluctant for whatever reason to place XL sizes which is my specialty. For every about 150cc the cup size increase by one.