Will 495 extra full be too big? Doctor recommends it (Photo)

The bigger the implant ,the more consequences in terms of neck, back and shoulder pain. Your overall size depends on on how much existing breast tissue you have, skin thickness and the plane in which its placed - subglandular, submuscular or dual plane. You need to get a size that's aa fit for your frame, your goals and expectations. From what you say above, you may be better off with a 415 HP.

Greetings Dear

Thank you for your question. I am sure with 415 or 495 both would be a good fit for you however 495cc might cause you to have some back pains.

There is quite a jump from 415 to 495. I prefer to use Crisalix software for my patients to help them visualize a final result with a number of different sizes. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.

Tall women with larger frames and broader chest, shoulders, and hips can often handle larger implants that would make smaller women's chests look overcrowded and heavy.
None of the modalities to approximate final results from breast implants are 100% accurate; they merely facilitate the patient and the board certified PS concurring on the size and type of breast implant which will come the closest to reaching the patient's goal.
My patients prefer to try on implant sizers under garments they typically wear (workout tops, bikini, tight sweater, low cut dress) to determine if they fit as expected and help allay some of their trepidation associated with this decision. I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy. A very general estimate is that one cup size is 150 to 200 cc of volume, but realize that no direct correlation exists between the two. It's unlikely that you will notice a difference in increments less than 100.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame

Dear jesslovespizza,
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

Good afternoon!
I would recommend 425-450cc HP silicone gel in my humble opinion, performing more than 500 augmentations a year. Also tell your PS he needs to replace that teeny tiny blue screen with a larger one for photos!

The 415 is not a small implant and should look nice. If you want more, go with 495, or something in between.

Thank you for your question.
The 495 cc breast implant is very large and I very rarely use that size of implants and cosmetic breast augmentation. If you were comfortable with the for 15 I would stick with that because you do not want to look top-heavy.