4’11", 110 lbs, 31, breastfed 2 children. I want to get a lift with implants. Size, profile & placement suggestions? (Photos)

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look."
With regards to your specific question, a round submuscular augmentation is a very reasonable approach when paired with a lift. The choice of moderate vs. high profile will be question of desired upsize and breast width.
Communication is key as you and your surgeon create your custom surgical plan.
As always, discuss your concerns with a board certified plastic surgeon.

Round under the muscle. Choosing the right size and profile breast implants for you. 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 and style breast implants, if interested. 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 size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello, I am Dr. Özge Ergün. First of all, thank you for sharing your story and photos.
The clinical assessment indicates moderate ptosis and a significant volume deficit of the mammary mound. Consequently, I recommend a combined approach utilizing implant-based breast augmentation concurrent with a vertical scar mastopexy (breast lift).
A round, high-profile implant is deemed the most suitable option to achieve optimal projection and aesthetic contouring.
For the mastopexy component, precise implant placement is crucial for long-term stability and results. We recommend positioning the implant in the subglandular plane (above the muscle) rather than the submuscular plane. This technical decision is critical for mitigating the future risk of waterfall deformity, ensuring the stability of the breast tissue over the implant for a smooth, cohesive aesthetic outcome.