What kind of implant will give me a higher, fuller look?

Hi Joylove,It's very common to change from saline to silicone.  It would help to know what you have currently in terms of implants and placement.  That would define your starting point.   At most offices, ours included,  sizers of different shapes, profiles, and volumes are available to give you a better understanding of the possibilities.  If you bring in pictures to your consultation of your desired outcome, your surgeon should be able to describe the procedure needed. 

without a photo and and exam this would be difficult to speculate. I can provide the following information about implant choice: It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below:

You probably will enjoy to have a high profile silicone implant.However high profile saline implants offer a higher and fuller look compared to high profile silicone gel implants.Since you also had a good experience with your saline implants you should consider selecting saline implants again.Breast implants can have the long term complication of capsular contracture. You obviously had saline implants and did fine without problems. This is something to consider for your safety.

Breast
augmentation is one of the top three most popular plastic surgery procedures
performed.
A major factor
that effects how breast implants look and feel is whether they're inserted over
or under the chest (pectoral) muscle. A submammary implant is inserting the
implants under the breast tissue and over the muscle. It's also quicker: I
insert the implant through an incision in the navel, nipple, breast fold, or
armpit. A subpectoral implant, in which the implant is placed under the
muscle aren't right for everyone, though. If you have saggy breasts, and
implant placed under the muscle won't fill out that empty breast sack, and
you'll get what we call the "double bubble" look, where the implant
is situated next to your armpit and the breast hangs several inches below
it.
It is now possible
for you to enlarge your breasts without resorting to implants!
Specially prepared fat taken from another part of the body, such as the
stomach or hips, is placed under the breast tissue to provide increased breast
size without the need for artificial implants. The technique is called
autologous fat transfers and autologous simply means "your own." And
who doesn't have a little fat to spare? This procedure can be performed as an
outpatient in our fully accredited ambulatory surgery facility with "twilight"
anesthesia administered by a board certified anesthesiologist.

Both saline and silicone implants can give very nice results, but there are differences.  Saline has a tendency, depending on fill, to be a firmer and more rounded implant.  Silicone is heavier and will settle in position with time to a more natural appearance.  The switch to silicone will work against the higher and fuller look.  Therefore to get that appearance you will need to increase volume.  The question to consider now that you are looking to increase volume is how do you do that.  As implants get bigger you can do that by increasing diameter or projection or both.  If you like the look of your current implants but want a more full look a lot of patients have liked the look of a higher projection implant.  Most importantly, discuss this with your Board Certified Plastic Surgeon in consultation and he or she should be able to help you get the look you are looking for.  Good luck and thanks for the question.