Im 5"10 and 150 Pounds I'm Really Slim on Top What Size Implants Should I Get?!

Much of the final “look” achieved after breast augmentation surgery  depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.
3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.

Far more important than the technique
is the skill and experience of your plastic surgeon. Choose your surgeon rather
than the technique and let them explain why one technique may be better than
another.

See the below link on some
suggestions on finding the most qualified Plastic Surgeon for Any women desiring breast augmentation surgery is a candidate as long as there are no health problems present which would preclude her from having surgery. If the desired goal is to enhance or restore size and shape or to improve asymmetry, breast augmentation is a viable option. Breast augmentation can improve a body image, self-esteem, self-concept, and quality of life.Ideal Candidates for Breast AugmentationDesire larger, shapelier breasts.Moderate degree of breast sag and smaller breasts, whose problem can be solved by enlargement.One breast that is noticeably smaller or is positioned differently than the other (asymmetry).Uneven chest wall or rib cage.Women requiring breast reconstruction following a mastectomy.Restore breast volume or shape following pregnancy, breast feeding and/or weight loss.

Deciding on which implant to use is always a difficult decision
for women. The benefit is that in this day and age is that there are so many
choices of implants that the augmentation can be tailored to each patient.



Number
one you have a good shape to your breast to begin with and you will have a
phenomenal result with your breast augmentation.



Truly
the best thing that you can do is be open with your surgeon about your desired
results so they can help guide you in choosing the best implant for you.



I
would spend time trying on various implants in your surgeons office and don’t
be afraid to do this more than once.
Also bring your surgeon pictures of what you want to look like after
your procedure. This will make sure that
you and your surgeon are on the same page about your implant desires.



Patients
can confuse their decision by trying to be a specific cup size, which is good
as a starting point, but really the best thing you can do in deciding on a size
is trying implants in your plastic surgeon’s office.



The
benefit of the silicone implants is that patients can place a slightly larger
implant and still look natural. The silicone implants are much softer in feel
and appearance than the saline implants.
You would have to go with a very large implant to have a round fake look
after your augmentation.



In
terms of the profile of the implant, I typically decide on the volume of the
augmentation first and then use the various profiles to match the breast width
of the patient. This will keep the implant
from being too wide, but still give patients the medial fullness that most
patients desire.



It is important to see your board certified
plastic surgeon to help guide you to an implant that will give you an
aesthetically pleasing breast.