What are the best implants? I'm getting gummy bear round high profile. (Photo)

All the silicone breast implants available in the US are excellent devices for breast augmentation.I particularly like more Sientra silicone breast implants because their shape, texture, capsular contraction rates and most importantly, they are sold only to board certified plastic surgeons ( so no dentist, gynecologist, general surgeons or other plastic surgeon-wanna bees can place them).The best size of breast implant is the one the patient, not the surgeon chooses. No patient should go to the operating room with doubts about the size they want. Any patient with second thoughts about their breast implant size should follow up with their plastic surgeon and confirm the size of the implants before they go under the knife.

While I agree that your wish pics are indeed beautiful, those women did not start out with your degree of sagginess, so please do not expect the same results. You will need a breast lift before contemplating an increase of volume that high. Should you decide to move forward without a lift, your surgeon will need to cut a lot more tissue to make them fit, thus potentially making it easier for them to become displaced or malpositioned  (dual plane approach) sooner. Please know that breast implants are not life time devices. The larger they are - the heavier they are - the sooner they will move out of place. Please consider a smaller size or be ready to wear supportive bras 24/7 to help minimize complications. Best wishes,

The difference in size is so minimal. You're looking at just over a single tablespoon! Most patients do better when they err on the side of going bigger in their decision between two sizes. Those that do not usually end up wishing they had gone bigger.  Given the photos you show that you like, I'd suggest considering Natrelle Inspira SRX would be the way to go. It will give you the projection and shape you're desiring. The photos shown also look like you may want to consider implants larger than 500cc in order to get that look. Most women report that using the new silicone gel implants produces very natural feeling breasts.