What breast implants should I choose? I want them to be perky, big and round (Photo)

Saline implants can be done however, I'd recommend silicone implants. Silicone implants are not like they used to be and they are form stable. Saline stable can get deformed easily. Since you want big, perky and round result, mastopexy with silicone round high profile implants would provide the wanted result.

Hi, thank you for sharing your question. Choosing the right implant for each patient is highly individual. You may be able to achieve that rounded, voluminous, perky result that you want without any additional procedure but an in person evaluation may be better to give you the best insight. If you have no meaningful ptosis, then you will not need a formal lift procedure.

Dear Melxx101,
breast implant type and sizing selection 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I think the best way to proceed for you is to get to a board-certified plastic surgeon who can perhaps use sizers or computer analysis to help you choose a size. It seems your breasts are of different volumes, and you may very well need two different sizes of implants, or breast tissue resection for symmetry.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

The lift is more important than the implants. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I appreciate your concerns, and it does appear that you are a reasonable candidate for breast lift with either saline or silicone implants. However, you do need explore the pros and cons of saline versus silicone implants because it appears that some of the facts that you have are incorrect. Silicone implants do not have a higher capsule contraction rate than saline implants and the newer generation high cohesive silicone implants are semi solid and gross leakage of silicone if ruptured does not occur.

It appears that you do have moderate breast ptosis with possible asymmetry, however breast lift with either saline or silicone implants under the muscle should be an excellent option for you. After your weight loss, come see me or another board-certified plastic surgeon in our area to explore the best options for you. Good luck

During your consultation, you will be examined and measured and can try on sizes that best fit your frame and tissue. there you can see what size you like.

Based on the posted photos I recommend High Profile saline implants 500-600 cc ranges placed in "dual pane" position with bilatera donut lift. Fee $6,000+. Best to virtual consult with.....