I'm currently an AA cup. Is 275 CC's ok or can I go bigger? Also moderate or HP? (Photo)

After reviewing your
photographs, it appears that you have thin skin and very little breast
tissue. An asymmetry between the nipples and breast volume is present,
making the right breast larger than the left. This could be corrected
during the augmentation. As for the implant, there would be little
difference between a 275CC or 300CC implant; both could provide excellent
results. For natural looking chest, a high profile implant will look less
natural on your body type; a moderate plus profile implant will create a more
natural looking breast. The Allergan Natrelle Style 15 implant falls
between a Mentor Moderate profile and a Mentor High profile; it is excellent in
providing a natural looking result.

The nice thing about trying on implants in the clinic is that you can determine what volume implant gives you a look that you like. In our office the patient will bring in clothing that they would like to be able to fill out after their augmentation. Various volume implants are tried until the desired look is obtained.After the desired look is known, the volume and breast width measurement are used to select an implant. The implant must fit within the breast footprint. As you increase the profile of your implant the shape of the breast will become more and more round and look less natural. You have very little native breast tissue, so most of your augmented breast will be composed of the implant. Your breast will not look 100% natural after your surgery, but going to a high profile implant will exaggerate the augmented look. So the profile depends on what look you would like to obtain.If there are still questions, you should have a second consultation with your surgeon to address your questions so that you two can decide which implant and look is best for you.

You do have very little breast tissue and asymmetrical breasts (smaller on the left). Implant selection is based on your breast base diameter, soft tissue elasticity and chest wall dimensions. Even with submuscular implants, there is a chance that you will not have a completely natural look. A higher profile implant will look less natural on you then a low or moderate profile. I think if you want natural looking breasts, you need to not focus on cup size. I don't know what a "small C cup" is as compared to a "large C cup". A C cup for your height is different than a C cup for 5'8''-6' tall woman. If you trust your surgeon go with his/her suggestion or seek a second opinion from another board certified plastic surgeon. Good luck.

Your plastic surgeon should be able to answer this question for you - the decision is predicated on accurate breast anatomy measurements. If you are not getting the answers from your PS, seek a second opinion.

Thank you for your question. It is very difficult to accurately discuss implant volume without an exam and detailed measurements.  In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. I use these measurements to help me during your sizing process to guide you to a safe result and one that meets your end desires.Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process.  In addition, review of photos and use of rice bags can help the patient and surgeon achieve a safe and happy result.  Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

The decision of what breast implant would be the best choice for you is best made between you and your doctor. He can review the dimensions of the different implant size and profiles and relate them to the dimensions of your breasts and chest wall. Going under the muscle doesn't significantly alter the profile of the implant because the muscle drapes right over the curve of the breast implant, just as the skin does. While the muscle is contracting, it's possible to flatten the implant, but when relaxed, the profile of the implant is very similar to one placed above the muscle.Click on the link below to view results of 400-cc round moderate-plus silicone gel implants.All the best.

Missing info is the width of your breast.Surgeons prefer to limit the implant width to match and not exceed the breast width. That may be the basis for your surgeon's suggest, and I would endorse that if his recommendation was based on breast size. A moderate plus will probably be more attractive than a high profile given how little soft tissue coverage will be present.  That too may further limit size options for you. But I do think patients are happier with an attractive breast smaller than they might have wanted than with breast of their desired size but which don't look right or natural.Best wishes. 

You have very little breast tissue and very little body fat.  My advice is to think small.  I think a 275cc will be plenty big for you if it fits your breast diameter.  I would not put a high profile implant in someone built like you.  It will really stretch out your tissue and it will not look at all natural.  In women like you, I tend toward submuscular gel implants and often go with low profile implants.   Also, you have some breast asymmetry as well as some rib cage asymmetry.  You may want to consider a little bit larger implant on the left.  As far a obtaining a C cup:  I advise you not to focus on bra size.  Bra sizing is not standardized and is really all over the place.  Focus on a size that enhances your figure.  

It is very important that you understand the final look after augmentation is a combination of your breast tissue and the implants. You have almost no natural breast volume so the final look will be that of the implant, so rounder than a "natural" look. The bigger and rounder (High Profile) the less natural. As far as size, you need to work with your surgeon on that because that requires an examination.