Is a 285 cc implant too large for 5'4", 115 32AA size?

Hi.. Thank you for the question... Without a photo is difficult to discuss your case... And not having measuments of your torax make it more difficult...

The short answer to this question is that "it's complicated". The reason is that a 285cc implant looks different on different body types even with the same height and breast size. That being said, 285cc's is a very conservative choice and certainly smaller than the average size implant. Therefore, you should have a very natural post-operative appearance. I would rely on the experience and the artistic eye of your surgeon. Good luck with your procedure!

The best way
to determine the size that fits your personal perception of the perfect breast
is to try on sizers. This way you can see how they fit on you, how they add to
your current volume, and whether they fit your frame. Although the surgeon can
guide you, only you will be able to tell what is the right size. Try on sizers.
Measuring a diameter and then telling the patient what volume they can
have (in high, moderate or moderate plus implants) in my mind is backwards. The
patients should be allowed to choose the volume. Then the surgeon carefully
considers the base diameter, projection, profile, manufacturer, and fill
material that will achieve the patients goals of size as well as qualitative
look (natural, intermediate, or bold upper pole fullness or projection), all
the while taking into consideration the patient's anatomic features that will
affect the outcome. The experience of the surgeon and the degree to which
they explain the options to you is of utmost importance. The subtlety in the
final outcome is not achieved by which profile implant is used, it is
determined by the skill in the creation of the pocket, the choice of implant.
Don't let the doctor tell you what would look good on you. They cannot tell
what you perceive to be the best size. That is up to
you. Although under the muscle makes the implants look subtly smaller that the sizers look, it is completely unnecessary to upsize to compensate for this.  This upsizing approach results in patients who are unhappy because they are too large.  If you like a certain size, request that size, not the next one up.  HP
implants, which are a more modern shape than moderate profile implants, fit
most women better. They have a more appropriate base diameter and can be
made to look very natural or very augmented, depending on where in the range
the implants are filled to achieve a particular volume. High profile
implants are the first choice in my opinion. I rarely find an indication
to use moderate or moderate plus implants. The subtlety in the final
outcome is not achieved by which profile implant is used, it is determined by
the skill in the creation of the pocket, the choice of volume, and where in the
range the implant is filled.