What kind of implants should I get to correct the asymmetry of my breasts and also achieve the pornstar look?

They try to teach us to make everything look natural in doctor school.  Still, high, round full breasts can be achieved.  It is difficult to give you any specifics without an examination or, at least, a photo.  I don't use video imaging.  You can do lots of stuff on a computer that you may or may not be able to replicate in real life.  I would suggest that you schedule a consultation with another board-certified plastic surgeon or two so that they can examine you in person and review your options with you.

I'm sorry to hear you had a poor experience. It is difficult to say without assessing you in person. Generally speaking, if you choose a high profile implant, you will get a round bubbly look. Moderate profile will have more of a natural slope. Please seek a board certified plastic surgeon for another in person consultation.Regards,

Hi goodbyenatural,

Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position.

Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. Also, price range for breast lift is around 10k to 15k depending on whether you need a lollipop or a donut mastopexy.

Another important consideration to make would be the breast implant type and sizing selection. In fact, this is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 

When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.

Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.

Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 

Member, Am. Society of Plastic Surgery

A high profile implant will likely achieve satisfaction in the porn star arena. An exam or Photos at the least would be needed for an opinion on the need for a lift or not. 

I recommend you try another consultation with a board-certified plastic surgeon who has experience producing the look you want. They will select the right size implants based on discussing your goals, examining you, giving you implant samples, and reviewing before/after pictures to give you an idea of results you can expect to get. Good luck!

Really this can only be determined with a long and thoughtful consultation and examination.  Most likely the you are aiming for can be achieved with a volume, high projection cohesive round implant.  The decision making is rather complex, so have your consultant explain this and talk you through the process.Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Many factors play in to how your breasts will look after implants. If you have enough breast tissue beforehand, then placement of high profile implants above the pectoralis muscle are most likely to give you the look you want.
However, be aware that overtime implants that are too large and heavy (and even some that are not) can have deleterious effects on the appearance of your breasts. 
Knowing that this is a possibility, you may choose to go forward with surgery to achieve the "porn star look". Revision surgery is usually necessary down the road.
Best of luck.

Thank you for sharing your question and I am sorry that your first consultation experience went poorly.  Based on your narrative it is important to remember that you want to select implants that meet your expectations but also limit the additional risks that accompany large implants.  That said for a less natural look I would recommend a highly cohesive gel implant from Allergan's Natrelle line.  You likely would need a full or extra-full projection, with cc size determined on your specific key breast measurements.  Hope that this helps.

Thank you for your question and it is unfortunate your first consultation did not go as planned. In order to achieve the results you are looking for, you will likely need to use a high profile round implant that will give you the upper pole fullness you want to achieve. You may need to choose slightly different sizes in implants to even out the asymmetry you are referring to in your question.
While most patients and surgeons are focused on achieving a natural look with breast implants the results you want can be achieved. You are probably looking at an implant that will increase your breast size significantly, which can carry additional risk if the procedure is not performed carefully by an experienced surgeon. My advice is to schedule a consultation with a second, and even a third, surgeon if necessary until you find the doctor that is willing to work with you to get the results you want without compromising your safety during the procedure and your risk for complications afterward. Good luck!

It is impossible to diagnose the degree of asymmetry, skin quality or degree of sagging without viewing photos. Don't let your 3D imaging results deter you.  I don't personally use imaging and believe that it sometimes confuses patients in terms of what can really be achieved surgically.  In general, if a patient is wanting a "fake," overly round or "porn star" look, a round, High Profile, Cohesive implant is likely the best choice.  Also, placement of the implant above the muscle will exaggerate the round contour of the implant, but not every patient is a suitable candidate for implant placement above the muscle.  I recommend another consultation with a board certified plastic surgeon to discuss this in more detail with you.