Would 485cc silicone implants be too big for my shape? Would 450cc be better? (photo)

Thank you for your picture and questions. I often hear patients that spend a lot of time going back and forth on size. The bottom line is most of the time, it is not worth the struggle. If you are considering 450 vs 485 cc, that is a difference of 35 cc. To put that into perspective that might be easier to visualize, that is just over 2 tablespoons....that's it! You probably would not even be able to tell the difference between the two once they are in place. Usually when choosing between two sizes, as long as the dimensions (width) fit your chest, most patients go with the larger size and are happy with that decision. Last thing, make sure your surgeon is board certified by the American Board of Plastic Surgery!Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Dear hairxobarbie,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Since you had a pregnancy and have gained weight, you would also benefit from a lift, perhaps more than augmentation.  In your photograph, it appears your breasts have descended down your chest wall.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.