23,109lbs, B to C cup. Will silicone 310cc natrelle round gel above muscle help to achieve my goal? (Photo)

I don't think that 310cc's is too large, but I would reconsider going behind the muscle. You will have more natural looking cleavage, less risk of capsular contracture and a better mammogram in the future. I am also using the new Inspira implants from Natrelle which are smoother. These should decrease the risk of wrinkling and rippling. Best of luck!

Dear boobiequeen,    Thanks for submitting your picture. From observing your picture you appear to be A cup size. Since you claim to be 34 B, maybe the real size that you are looking for is 34 D cup , which will fit better your title - 'boobiequeen' . After being 28 years in plastic surgery practice, I noticed that many women over estimate their breasts size, mainly because '' Victoria secrets' makes the bra size smaller. so women feel better about their breasts size. For you, to become 34 C , you will need implants with volume of, roughly, 300 cc. For 34 D , 450 cc. I use , almost exclusively,  smooth, round, moderate profile saline implants made by Mentor (thinner shell) and place them all under the muscle. The reasons are too many bring up in this session. If you will contact my office, I will provide with all that information. You will hear and read different opinions about these points, so do your due diligence and check the before and after pictures in the photo gallery. Make sure that they are numerous, consistent and attractive. Pay special attention to the cleavage area, the perkiness, the symmetry and the natural look. Go with the surgeon that 'wow' you most . Just make sure to consult, only, with experienced board certified plastic surgeons who operate in accredited surgery center for your safety.                Best of luck,                                      Dr Widder

Thanks for sharing your concerns with us. I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), under the muscle, with high projection, and 350ml will be excelent on you, to fill the breasts properly and to achieve your goal. Best regards, Dr. Emmanuel Mallol Cotes.- 

Thank you for your question and photographs. I think you are starting from a very good position and will obtain a nice result.  Sizing of implants is an exciting part of the breast augmentation process, but selection of a particular implant depends on a few key breast parameters obtained through an in-person consultation, as well as a thorough discussion as to the goal look you are striving to obtain.  Continue to work with your surgeon, they will help guide you to the best implant selection. 

Thank you for your question and photos.  As long as you have developed trust in your surgeon, you should follow his recommendation.  From the one photo that you have provided, it appears that you could achieve a nice result from a breast augmentation using implants.All the best,Dr. ResultsMiami, FL