Would 625cc overfilled to 750ccs high-profile saline implant over muscle achieve my desired look? Suggestions please (Photo)

Dear beauty,   Thanks for submitting your pictures and your goal pictures.  From observing your pictures, you appear to be C cup size with very large areolas, asymmetry (right much bigger than left) and ptosis level 2 , though the nipples are way bellow the fold.  With that presentation, if you were consulting with me, I would have refused to perform on you breasts augmentation only. The result will be grotesque, because the implants will be riding quite high , with the nipples way bellow the implants.    You are not going to look like your goal pictures !!!  To achieve a lift of the nipples without a mastopexy (surgical lift), the crease will have to be lowered dramatically, which will position your breasts very low on your chest, and that is very unattractive.   Another very likely high risk is that you will develop double bubble due to the stiffness of the crease (it is unpredictable), that will not stretch and stay as a band, creating the deformity that can be devastating.  As far as your fear from "kelloid" , many patients confuse hypertrophic scar(thick scar) with "kelloid" (scar that grows like a tumor, beyond the original wound). Many times, patients show me wide scar and call it "kelloid" , which obviously, it is not. Thick scar can be treated very efficiently with Kenalog (prednisolon) injection.   In regard to implants size. If indeed you are 36 D cup size, you will need 350 cc and 450 cc implants to become 36 DDD. If you are 36 C cup size(as I suspect), you will need 525 cc on the right side and 625 cc on the left side.   All these sizes are recommended, only, with full lift (key hole) procedure.  You have to realize, that not all result are the same, because experience, skills and aesthetic eye are critical for good and safe outcome. So, do your careful due diligence and choose wisely.       Always, consult with experience board certified plastic surgeons who do lots of breasts augmentation with full lift, in accredited surgery center for your safety. Most important, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage , perky, symmetrical and with fake or natural look as you wish.                            Best of luck,                                               Dr Widder

Hello,You would not look anything like those photos. You need a breast lift. How you scar on one part of your body does not determine how you will scar elsewhere.  In addition, the breast skin if very forgiving for incisions and scars. Go visit a few ABPS certified/ASAPS member surgeons that specialize in all aspects of cosmetic breast surgery.Best of luck!

Placing a large overfilled saline implant above the muscle would be a bad idea. Although it may look nice for a very short time, it will sag terribly in a couple of weeks leading to more problems of skin laxity. You will need a full lift with Submuscular implants. Scarring is a serious consideration.