Plastic surgeons do what you want them to do. A friend of mine is about a 100 lb. Asian girl who looked great with her natural A-cup, and she just got some big ones two days ago.
Everybody's different. On a smaller girl I would say a B-cup is about perfect, but I'm 6'0" and my shoulders are big enough that I could certainly stand to be bigger than 38B.
The problem I always see with bigger implants is that the nipples never look right. Either they look gross and have big scars because their nipples were surgically moved, or else they don't look right because the nipples are now way too high for big boobs. But I think I could stand to get an under-muscle through-the-armpit boob job to go from a B to a C and probably look better.
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