I want high profile silicone implants with at least 800-900cc. Suggestions lift or no lift? And any advice is helpful. (photo)

That size is VERY large and you are at high risk for complications.  I would reconsider if I were you.  Be sure to see a BC PS in your area.Best,

You
are an excellent candidate for a new technique called The Ultimate Breast LiftTM. This technique avoids the ugly vertical scars
of the anchor shaped incision, maintains nipple sensation and the ability to breast
feed. The breast is reshaped creating
upper pole fullness, elevated higher on the chest wall and more medial to
increase your cleavage. Aligning the
areola and breast tissue over the bony prominence of the chest wall maximizes
anterior projection without implants. Since
you are already a 38 DD it is unlikely that an implant would be needed. At size 38 each 200 cc’s of implant
corresponds to 1 cup size change and 800 cc implants would take you up 4 cup
sizes to a 38 I. Implants this large are
not stable, will descend inferiorly and laterally requiring revision. Best Wishes,Gary Horndeski, M.D.

I agree with the other docs, I would perform a lift and create a nice breast shape and let things settle than discuss adding an implant this will reduce complications and improve outcome

You would definitely benefit from a breast lift. With the current nipple position an augmentation only would not yield a satisfactory result. I agree with your plan to wait until you are finished having chlidren and/or have reached your goal weight. To my knowledge 800 cc is the largest implant produced. Good luck

In my own practice we keep silicone gel
implants of all sizes available for patients to try on in a testing
bra. This is not a perfect teaching tool because under the muscle implants
tend to lose some projection, but because my patients look it actual implants
on their frame I find it the most helpful.I encourage my patients to bring a friend or
friends for a second or third opinion, and to bring a few different shirts.I suggest as you look at implants you think
about the relationship between the width of the breast and the width of the
shoulders and hips. Two wide will make you look top heavy, too narrow
will make the breasts look like torpedoes. I personally like to see the outer
curve the breast have balance with the curve of the hip.Once we hone in on the right diameter we then
look at the projection of the breast which changes the cup size. At the
correct diameter we can use a high moderate or low profile implant depending
upon the patients goals.Depending upon the starting situation, and the
degree of droop we adjust accordingly.Photographs of your goals
are helpful, but they don't always tell the whole story. They don't
always let you know a height and width of the entire patient

You have provided good photos showing that the nipple position is low on the breast.  This is a good indication that a breast lift will benefit you.  While augmentation/lift CAN be performed at the same time, it does not mean that it SHOULD be performed at the same time for every patient.  Your preference for a very large implant makes the combination surgery unpredictable and will likely result in an appearance that you were not expecting.  Be sure to find a board certified plastic surgeon who can discuss these options and their safety with you.

800 cc's was the maximum off the shelf size I could order but that being said, you are in dire need of a lift and as mentioned by others, it seems it would be more prudent for you to have that first then an augmentation later.  If you're willing to trade your own tissue for an implant, you could even consider having a reduction and an augmentation at the same time to give you that 'round' look.  A consultation would be required to ensure your body could hold the volume that you desire.

Whether you lose or do not lose weight you still need a lifting operation in my over the internet opinion... If you desire such LARGE implants than have lifting operation first, wait at least 3 months than have the 800 to 1000 cc implant place... as a second operation.

You will need a very comprehensive consultation with an experienced board certified plastic surgeon because your situation is not simple. First you need to explain exactly what you are trying to achieve. Very often patients are dissatisfied after 6 month because they do not look the way they anticipated looking. That is because sometimes we, as plastic surgeons, are not able to achieve the results that a patient is looking for. The results are just not achievable. You have low lying nipples that can only be lifted with a breast lift. Your breasts can always be made bigger with implants but they will always droop, even with a breast lift because of the weight of the breasts.  In your situation you will need either to compromise on size or on droop. High, large breasts are at best temporary due to gravity in most cases.

Dear CaliNessa13,Thank you for the question and photos.  You will definitely benefit from waiting until you have your last child before undergoing any breast surgery procedure.  Once you have done so you will be served best by a combination of breast augmentation and breast lift.  The exact size of your implant will have to be determined during your consultation and based on your breast width, tissue quality, and final goals.  A very large implant with a breast lift may not be the best combination in terms of longevity of results but you can discuss this with your plastic surgeon.  It can be done and the photo link below shows one of my patients with 800 cc implants and a breast lift.All the best,Dr. Remus Repta