Would an E cup be suitable for my frame with implants and simultaneous uplift? (photos)

Hello and thank you for your question! In my opinion I see your nipples are in very good position and there is some pseudoptosis, meaning some of the breast tissue is below the level of the breast fold without sagging of the nipple/areola position. All of this, along with your measurements means that you do not need a lift to have a nice result, and you can certainly go up 2-3 cup sizes up (400-600cc) implants without concern that they won't fit your frame. As for implant/breast tissue descent over time, this is true and unfortunately inescapable for every patient. Some surgeons will actually remove some of the breast tissue (small reduction) and replace with more implant volume since the position of the implant is easier to predict/control than the breast fat/gland tissue (plus/minus technique). Others may recommend the use of the "internal bra" technique where a piece of absorbable mesh on the inferior aspect of the breast helps to strengthen the tissues and "hold" the implant and shape of the breast for longer. All of this is best covered in an in-person consultation with a board certified plastic surgeon.

Dear Creative660665,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery