Breast implant size, for tall girl?

Based on the photo provided you are an excellent candidate for a breast lift with augmentation and tummy tuck with flank lipo.Generally speaking with sizing of implants: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
are focusing on breast size but your more important problem is your breast
shape. Implants only change the volume, they
do not reshape the breasts. I recommend
a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, correct
the asymmetry, elevate them higher on the chest wall and more medial to increase
your cleavage. Through the same
incision, implants can be placed.
Aligning the areola, breast tissue and implant over the bony prominence
of the chest wall maximizes anterior projection with a minimal size
implant. Small round textured silicone
gel implants placed retro-pectoral look and feel more natural, are more stable,
less likely to ripple or have complications needing revision. There is no way you could accommodate 575 cc,
600 cc or 700 cc implants retro-pectoral.
They will extrude inferiorly and laterally requiring revision. 22% of women who undergo breast augmentation
alone require revision within 2 years because they are dissatisfied with the
result. The causes of dissatisfaction
are over implantation with extrusion and not performing a lift when
needed. I suggest you rethink your plan
and consider small implants with a simultaneous lift. Many women refuse lifts because of the ugly
vertical scars of the traditional technique.
This technique avoids the ugly vertical scars, maintains nipple
sensation and the ability to breast feed. Best Wishes,Gary Horndeski, M.D.

The general rule is taller ladies can handle larger implants.  You do have a breast asymmetry that will persist or become more noticeable as well.  As for choosing a size, I employ (with an excellent satisfaction rate) external sizers.  When placed into your unlined bra, it gives you a great idea of how large you will be.  Add 10% to that volume and often the patient gets exactly what they expected.  With your tummy tuck, your tummy will be flatter and your breasts will look larger so compensate for that a little in your choices.  Best wishes in getting exactly what you want!

Thank you for the question.You seem to be a good candidate for the tummy tuck with liposuction. In regards to the breast, I think the 700 cc will be to large for your breast, talk to your surgeon and clear all questions in regards to the sizing of the breast so you can reach your desired breast size.Best wishes,Dr. Campos

Thank you for the question and picture. Your picture does demonstrate some breast asymmetry, making me wonder if you will benefit from breast lifting on the lower side. Also, best to achieve a long-term stable weight, if you are not there already, prior to proceeding with the breast and body contouring surgery.  Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
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 or D cup”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
 The use of computer imaging technology may also be very helpful during this communication process.

3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.
I hope this (and the attached link) help.

The best cosmetic result in any particular
breast augmentation patient depends on a variety of factors, including: your
individual anatomy, desired outcome, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit
at a preoperative visit will help you and your surgeon choose the optimal
implant.Keep in mind that following the advice from
a surgeon on this or any other website who proposes to tell you what to do
based on limited 2 dimensional photos without examining you, physically
feeling the tissue, assessing your desired outcome, taking a full medical
history, and discussing the pros and cons of each operative procedure would not
be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

You need to see your doctor again and try the different sized implants on and see what you prefer. Only you can decide what size implant looks the best to you. Certainly at your height you can tolerate a larger implant but again, you have to decide what is the best look for you.

Thank you for your question and photographs.  I hope that your plastic surgeon mentioned the fact that you will likely need a breast lift on the left breast to make it symmetrical with the right side.Especially since you will be having a lift on one sideyou need to be very careful in choosing large breast implants as implants in the 500-700 cc range increase the chance of complications in particular when the breast lift is also done.I really cannot fathom why your plastic surgeon recommended 700 cc breast implants.  Even though you are tall 400-475 cc implants will look excellent on you and the chance of complications are less.  Since you seem to have concerns you should consider consulting another board certified plastic surgeon who is certified by the American Board of Plastic Surgery, very experienced in breast surgery and who has an excellent reputation in your community.

There is no fixed or set answer. The final implant size that would best suit your needs is dependent on many variables and not just height!1 You might like natural or oversized XL looking breast-purely personal decision2 You may be tall but do you have  narrow or broad shoulders and rib cage 3 Do you want better upper and lower body balance and proportion as you may have broad or narrow hips4 What are your normal day to day work and social activities- light or strenuous5 What is your tolerance for seeing and feeling visible and palpable implant edges and wrinkles associated with larger implantsetc etcI know these implant numbers can be confusing but on average approximately 200-225 cc or ml equates to one incremental increase in bra cup size but do keep in mind that there are many bra manufacturers with highly variable cup sizes so at the end of the day this is an Inexact size so go to a reputable experienced plastic surgeon and spend time sizing in the office before making your final size selection