Making a decision about breast implant size requires consideration of several factors:
1) The size you think you would like to be
2) The actual diameter of your breast (measured in your plastic surgeons office)
3) How you look with implant sizers placed in your bra at your consultation
4) The amount of skin laxity or sagging in your breasts
All of these things must be taken into account to give you the best possible look and fit. Patients sometimes have unrealistic requests that will not fit them as an individual due to their breast anatomy or body type.
The rule of thumb is to have realistic expectations regarding the cup size you would like to achieve, but this requires that you understand breast augmentation surgery. Make sure you and your board certified plastic surgeon have a thorough discussion, so you understand the procedure and the surgeon understands your wishes. Doing so will optimize your results and increase your level of satisfaction with the surgery.
