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.