Yes, Northern Virginia plastic surgeon, Dr. Michael J. Brown will meet with you and discuss your goals and the size you wish to become. In most cases, a woman can “pick” the size she wishes. There are infrequent occasions when the physical examination of the patient limits the ability to achieve a certain size. Selecting a breast implant size can lead to some anxiety in some women. The fear that they will be too large is most often the initial concern. Shortly after that concern is controlled, then the issue becomes going large enough. This is a difficult process and must be undertaken with a great deal of thought. An implant size on one woman may look entirely different on another. Using bra size as a guide can provide some assistance, but since all bras are made by different companies, there is no standard. Therefore, there are no guarantees about a specific bra size. Usually looking at photographs help establish a look guideline. A natural breast fullness is overwhelmingly the choice that is selected. The majority of women will request ‘a full C’ look or into the ‘small D’. Again, there are no guarantees about these sizes but they do assist in communicating the goals. Some women will want to be ‘large’. All women must understand that selecting larger than recommended breast implants may result in long term consequences that may be undesirable. Stretch marks, implant settling, and asymmetries are usually worsened long term with larger breast implants. some women will come to their breast augmentation surgery consultation with a breast implant size in mind. They have done some ‘surfing’ and believe that they have deduced the correct breast implant size. The most important aspect for an exceptional breast augmentation result is pleasing the woman by creating the size breast mound that she desires. So it is actually more important for the woman to have photos of the look that she would like to achieve from the breast enhancement surgery rather than a breast implant size. From this position, the correct implant size can typically be selected.