Gummy bear implant vs moderate plus round, Which would yield more favorable results? (photos)

Thank you for the question and pictures.  It would be wise for you to discuss the possibility of breast lifting at the time of breast augmentation surgery.  When it comes to the best breast operation and/or best breast implant to achieve your goals, nothing will replace in-person consultation. Ultimately, careful communication of your goals, careful measurements (dimensional planning),  careful selection of appropriate breast implants and skillful execution of the procedure will be important steps in achieving your goals.
 
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 helpful to patients;  this technology allows patients to visualize what their breasts may look like with different sizes/profiles of breast implants. I have found this modality to be a nice addition to the communication “tools” available.
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.

Of course a full consult is needed to achieve one's optimal results, but if you want an enlarged breast that has a natural shape, soft feeling, and with the lowest evidence of deflation and contracture, it would be specifically a Sientra shaped round base highly cohesive gel implant or gummy bear. Hands down in my opinion the best implant on the market today! With experience as an investigator for the 410 and seen, used, others and placed over 600 gummy bear implants, this is my opinion. I hope this helps you.

I think you would do fine with either implant, it is important that your surgeon has experience with the gummy bear style implant though. Additionally, you have some ptosis of your breasts and nipples so an important issue to address is the need for a vertical mastopexy (lollipop lift); either when the implant is placed, or delayed if you desire.