What would be the best implants to achieve upper pole fullness and great projection? (Photo)

I have developed a technique I term "Reductive Augmentation" for those patients with significant drooping (ptosis) and want an much higher full round breast. This technique combines breast augmentation with a breast reduction primarily from the bottom of the breast so the fullness remains in the top of the breast. Brest wishes.

Based on your photos alone, it does appear that you would need a full breast lift in addition to a breast augmentation. The lift will help with improving symmetry and giving your breasts a perkier look. A high profile implant would likely be the implant that would give you the most superior pole fullness and projection.  Although saline implants are a fine option, there is a new, much thicker silicone gel in a high profile implant which is designed to give the most fullness over the top of the breast. It is called the smooth, round, highly cohesive full profile implant. This may be the best option for you. We have a 3D imaging system called the Vectra that can simulate what you can expect your results to look like post surgery with your selected implants and the lift. I highly recommend that you schedule a consultation with a board certified plastic surgeon to determine what procedure and implants would be best for giving you your desired result and to discuss your goals and what is achievable.

There are so many considerations when combining a breast lift and augmentation.  One of the most important technical concerns is that the operation combines two entirely opposite forces:1.  addition of volume        2.  subtraction of skin and tissueWhen an implant is too large, these opposing forces can have a negative impact on the blood supply to the tissue.  In addition, the tension on the incisions can cause them to widen.  It's wise to keep this in mind when choosing.The combined procedure is based on raising your nipple and shortening the distance from your fold to the nipple.  The nipple position is typically placed at or slightly above your natural crease/fold.  The distance from your nipple to your fold is shortened to 7-8 cm.  These maneuvers allow for centering the implant in the most natural location.  The implant is then centered behind the nipple.  For these reasons, it is truly difficult to achieve the amount of upper pole fill that you see in your wish list pics.  Those ladies most likely had implants only and 2 of them are wearing garments to push them up a bit.  If you visit them in 5-10 years, their implants will have dropped considerably...sorry to disappoint you.Sounds like your doc is on the right track and maybe it's worth meeting with him again so that he can share more of his perspective.  Also, think about the long term result just as much as the short term.  This is an investment for a long period and you want to be happy with your choice for years to come- choosing an implant that would get you to DDD+ is also selecting a long term matronly look... you do want sexy, right??As for an implant to choose, take a look at the saline IDEAL Implant!  It's the best of gel and saline and will give you the projection you desire!  Click on the link below.Take care!In good health,Ellen Mahony, MD