Finally boobs! 415 HP unders, started 36A, 5'5/125 lbs

I've looked at lots of reviews to help me make decisions about my BA, so felt I should share my experience to help anyone else with similar questions and concerns. I'm booked for April 13, and know for sure I will be having Mentor Allegra high profile silicone gel implants, with an inframammary incision and submuscular placement. I'm still trying to decide upon an implant size and have lots of concerns over whether I should be considering a lift or a different type of incision.

After my consultation, I researched more than I had before (definitely did that backwards). I discovered there was a thing called tuberous breasts, mine had similar characteristics (though the surgeon says they are not actually tuberous), and that there are lots of different opinions on incision placement and whether a lift is necessary for mildly tuberous/underdeveloped breasts like mine. Almost all surgeons say release of constriction is necessary, often the breast fold needs to be lowered, and a lift may be necessary. He did mention the constriction may mean my left breast doesn't drop properly but mentioned nothing about changing my breast shape. When I asked at my second appointment after finding out this information, my patient coordinator told me that the surgeon had decided reconstruction or special techniques are not necessary for my breasts. I still am questioning that so am waiting to speak with her via phone to fully alleviate those concerns. I know you get a larger version of what you have now with a simple implant placement - but I don't know how different a larger version of what I have now will look when there's actually something filling up the space.

I'm choosing between a 370 and 410 cc implant currently, but my surgeon recommended 235 so I'm questioning whether I'm being unreasonable. The coordinator assures me that 370 or 410 will give me good results, and that it is common to go that much larger than the surgeon recommended. A doctor answer I received on here recommended I go 235 and then in a year have a second surgery to go larger, but I question that logic. I could go 235 knowing for sure I will want a second surgery, or go 370 or 410 knowing I may need a second surgery for revision if they don't settle properly. It seems to make more sense to me to go with the option that only "may" need a second surgery.

Once I speak with the coordinator and fully resolve these questions I'll update this with their answer if it helps anyone else who has similar concerns. It's really hard to tell whether a lift is really necessary - I have a breast fold on both sides lower than my nipple currently is, my boobs are just so weird looking and have no fullness in the centre that they look saggier in pictures than they actually are. I have resolved to trust the expertise of the surgeon on surgical technique though, if he does not feel any special measures are necessary then I trust that decision. I was referred to him by a friend who started in a similar size and went with 435 implants, and has a lovely result, and know of two other acquaintances who also had excellent results with him. They've also shown me lots of pictures of women with similar breasts who had lovely, natural looking results.

My ultimate goal is to look natural, but big. I want a full projection, lots of side/under boob, and as much width as my body can take (measured at 11cm breast width). I would like to be a D cup, but am not so concerned with cup size as long as it looks like I want it to. His results on similarly-sized women all look similar to what I want, so hopefully the size I choose is the right one. I'll update as I go through the process.

I spoke with my patient coordinator today and had my concerns adequately addressed. She said that less cuts means more likelihood of good results in my case and that messing with constriction or the inframammary fold could just create new problems. I've seen enough bad jobs on similar breasts that employed these techniques to be confident in their opinion. They allowed I may have a little bit of a double bubble if the tissue doesn't stretch properly but said any issues can be easily fixed and it's better to try the usual method first. Since my breasts are narrow and slightly constricted, but not really tuberous, a simple implant placement should do the job. I'm happy with that answer.

My bwd is 10.5, not the 11cm I thought, so high profile is the only option for me. Any of the moderate plus are just too wide, so I'm a little nervous about having the "ball" look with HP but the larger the HP the more of a slope they will have once fully settled from what I've read. I agonized over how to balance my desire for large breasts with using common sense, but following the coordinator's assurances today that I have enough room for 415cc, I confirmed that size. I know if I go even a little smaller I'll just wish I had gone to 415 since boob greed is already in full effect.

I'll have a ways to go before they drop and fluff with the 415, my expectations have been set by the surgeon for 3-6 months of dropping and that they will likely drop at different rates. But this is a relatively long-term decision so I'm okay with the possibility of a little imbalance for a while as long as they both are even in the end.

My good friends and my coworkers (I work in a restaurant so taking time off is a cause for questions and we're a small tight knit group anyway) all know about my upcoming BA. I haven't experience the slightest bit of negativity, or basically any comment other than "omg will you let me feel them? I'm so excited to see you with boobs!". But I was out with a good friend a few nights ago, and he had a bit too much to drink, got loose lipped, and made a comment about me getting boobs to an acquaintance. And oh my did she ever have a lot to say about it. How dangerous it was, how I wouldn't be able to wear clothes, how she hated that she couldn't wear a lot of clothes with her 36Cs, how any guy shouldn't like me for my boobs (really appreciate that your reasons are just assumed). My response to her was basically just "do you like your boobs? ("yes"). Well then maybe we just share different perspectives on the cost/benefit of this. Thanks for your honest opinion I appreciate it though." And she would not just drop it. All night she kept coming back out with "oh really, please don't do this to yourself" as I just tried to nicely acknowledge her and change the subject. So lesson learned, don't let your drunk friends make comments. It didn't offend me and I recognize that it's not the last of the negativity I'll likely encounter when I come back after such a drastic size change. I just found it strange that someone completely uninvested in what I do to my body had so much to say about it, especially another woman who likely also doesn't like being told what she should and shouldn't do with her body.

Switching topics, I've seen a lot of wish pics on here and wanted to upload one myself! I don't know how close I can get to this with my wonky nipples, but if I get similar roundness and fullness I will be a happy camper indeed. Read a lot of women print out a picture and show their doctor just before surgery to help him understand what you're hoping for right before he goes in, so I'm going to do the same with this one.

It's 2 weeks until my surgery now, and I think I'm over all the sizing and procedure technique anxiety. When the coordinator told me the list of meds they prescribe for after the procedure, I was so confused about why they give you anti-anxiety meds. Now I can see why, if I worked myself up that much over choosing a size, the first few days of observing the "torpedo boobs" would send me into a frenzy! I'm just starting to gather my supplies and look for good sports bras for after (my surgeon just recommends any sports bra with wide back straps and support, no surgical bra). Choosing a size for that will be tricky, but I'll just go with tips I've read on here and buy a few sizes to see what fits best. I have a roommate so it's a pain to properly set up and clean in preparation because she's a messy tornado but we'll work on that closer to the time. My bf will be staying with me for a couple days after the surgery so I look forward to having his help. Right now I'm finishing the last work for my undergrad degree (the BA is a graduation gift to myself :) so am going to throw myself into focusing on that and let the next two weeks fly by!