I had bilateral prophylactic mastectomies due to extensive family history of very aggressive breast cancer. (Was not BRAC 1 or BRAC 2. I was told it might be a gene not found yet, but given the death of multiple close family decided to do this.)
The implants were the largest put in, but as I am 260lbs they looked much smaller A-B's than the 44DD's I had. Dr.s are not really comfortable stating that they will not appear as large on heavy women, but it is reality. Losing weight will make them appear larger, so it is the best incentive I have had to lose the weight. Kind of a shock but would do it again. Had an excellent surgeon. They really do look beautiful.