What is the biggest implant size I could safely go? (photos)

Congratulations on the weight loss, and if you are intending on losing more weight I encourage you to await consultation until your weight loss has peaked and stabilized for at least 3 - 6 months.  Nonetheless, you will likely need a breast lift.  Because a breast lift tightens up the breast envelope and breast implants expand the breast envelop, you are more limited by this fact than any other when trying to go with a large implant.  One way around this issue is to have the procedures done separately, for example have the lift done first then 6+ months later undergo the breast augmentation with implants.  In general it is always best to fit the implant with the patients breast anatomic dimensions thus minimizing immediate as well as long term complications.  Once you are ready,
consult with a board certified plastic surgeon that can then perform an in
person physical exam and help you best decide on a final surgical plan.  

 

You
have told us your weight and cup size but not your height or bra size. From your photographs, it appears a lift
would be more important than augmentation.
I recommend a new technique called The Ultimate Breast LiftTM. This technique reshapes your breast tissue
creating upper pole fullness, elevates them higher on the chest wall and more
medial to increase your cleavage.
Aligning the areola and breast tissue over the bony prominence of the
chest wall maximizes anterior projection without implants. This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed. The optimal time to undergo
surgery is after you achieve your desired weight. Best Wishes,Gary Horndeski, M.D.

   In general, the larger the implant the more likely that the breast will droop more quickly.  In general, it is better to have a modest or moderate sized implant rather than treat an array of complications associated with a larger implant.  Kenneth Hughes, MDLos Angeles, CA