105lbs, 5'2 height, 13cm breast width. Will 425cc-450cc be to big? (photo)

400+ High profile implants are going to really stand out and look big.  You might be ok with 400+ moderate profile. 

Based on your breast (and chest) measurements your surgeon should be able to help you pick the best implant size and shape.  It would appear as though you could place an implant of that size as long as your goal is to have large breasts.  It looks like the left breast may be larger than the right.  If so, sometimes different implant sizes will be used on each breast.  Make sure you go over all of these questions with your surgeon.  I don't believe a lift will be necessary.

Hello,Cup size cannot be determined based on implant volume, so your surgeon shouldn't have implied you'd be wearing this bra size, whether he is right or wrong. Cup size is a bad way to talk about augmentation anyway. In-office sizing in front of a mirror will give you immediate feedback how you'll look with a given implant volume. The bra you may be wearing after your surgery is really irrelevant. Beyond your aesthetic goals, tissue based measurements are crucial to ensure your implant choice does not surpass your anatomic capacity.  Too frequently both the surgeon and the potential patient talk about breast width as if it were the only measurement used to make this determination. It is not, and it is not even the most important of measurements.  You should revisit your surgeon as soon as possible, get measured (not just BWD), and get sized. As an aside, you should also request an inframammary incision and the use of an implant funnel to reduce your risk of capsular contracture.Best of luck!

 Thank you for your question. Using tissue based measurements to plan breast augmentation, I believe that's the size that you are picking is too big. I also believe that based on your own size and dimensions it will make you look top-heavy. I think the point of breast augmentation Is to try to have enough for results that people don't know that you have had surgery instead of making you look fake  and obvious that you've had a breast augmentation. Size is truly a choice that you make and if you'd like to be big, you can push the envelope to about 350 or so but I would not go much bigger. 

Thank you for your question.  The best advice would be to schedule a consultation with a board certified plastic surgeon so you may be further evaluated.  During your consultation you should be able to utilize sizer implants and then be able to visualize which size implant best helps you achieve your overall desired look.  You will also be able to address your concerns, discuss your goals and then together build the surgical plan that will best help you achieve those goals.With kind regards,Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.Las Vegas Plastic Surgeon

Hard to answer this question without specific breast measurements AND an in person exam. Remember to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. Also remember that sizers will only give you a rough estimate. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements that help me determine the implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. In general, moderate profile gives you a more natural look while high profile give you the rounded, shelf push up bra look. Good luck!

It would be impossible to any surgeon to reliably tell you what size implant you would need without examining you. And, truth be told, it is not the VOLUME of the implant that is critical, but the SIZE, SHAPE, and PLACEMENT of the implant. FIrst, size not volume. You can have two implants of exactly the same VOLUME, but be entirely different sizes and shapes: Implants can be round, tall, flat, "anatomic," form stable, narrow, broad, etc. A saline implant is also very different from a silicon implant, and that probably has more effect on your outcome that simply the volume of the implant.It really comes down to the size and shape of your chest and breasts and what your cosmetic goals are.That said, I would think that at only 5'2" and 102 pounds, a 425-cc implants sounds a little excessive, though I tend to shoot for a result that is subtle and natural.  Judging from your height, weight, and pictures, the 13-cm base width sounds wide.  And the implant should really be a bit small than your actually breast width/chest wall, so that it doesn't extend past the lateral limits of your chest wall (in which case is will "show").  If 13 cm is really the actual base width of the implant, then 425 cc would be about right for a moderate or high -profile round breast implant.  Moderate and high profile would give you a result that really stands out (literally). Yes, probably a DD.If your breasts are larger than your actual chestwall, then the other thing you may wish to consider is a silicone implant that is "anatomical" in shape, rather than round  This would give you the volume and height to match your breasts without being excessively wide and extending past the lateral limits of your chest wall.  The results can be subtler and more natural.

Usually, most people have the widest profile that they can handle without creating symmastia.  If the moderate plus is beyond 13 cm, then you need to go with the profile to get the volume you want.  Your nipples will point outwards as they currently do, one more so than the other.  Implants will only make your breasts larger and my focus with augmentation is making sure the upper poles are level as you heal.  And you do not  need a lift and please do not let anyone talk you into one.

From your description of size and weight and your photos, 425 cc implants may look fake and be too big for your torso - especially if they are placed under the muscle.  However, your surgeon needs to make this decision at the time of surgery.

Thank you for your question. Implant selection is an important process and requires good communication between you and your surgeon. Typically, breast measurements are initially obtained to provide an initial guide to implants appropriate for your chest. It's then advised that you try different sizers in a normal bra with a tight t-shirt to get an idea of what your breasts would look like. It's important to focus on the look that you want instead of a specific cup size or implant size. Be sure to consult with an experienced board certified plastic surgeon. Good luck!