630 cc High profile implants. What size implant should I get ? (photos)

The decision to do an augmentation
by itself versus an augmentation with a lift (augmentation mastopexy) is less based on patient preference and more dictated by
the nipple position and the ratio between the post-augmented breast volume and
the amount of excess skin you have.

The less breast tissue you have,
the smaller the implant, the closer the nipples to the breast fold, and the
more excess skin you have, the greater the chance you will need a lift and the
greater chance you will need a vertical scar to achieve a natural aesthetic
outcome.Patients like yourself, with both
a lack of volume and sagging breasts, that have a breast augmentation with no
lift either end up with a rock-in-a-sock deformity as the implant settles into the
breast, stretching the tissue, and emptying out the upper pole, or a Snoopy deformity as your nipple will remain
hanging below your implant. See the link below for more info.A detailed examination will help
delineate the best surgical treatment. Consultation with a plastic surgeon certified by the American Board of Plastic
Surgery would be the next best step.

Hello,If you do not mind a slightly heavy-looking result, with full, large breasts which are not high and perky- then you may do well with the implant size that your surgeon is recommending and no lift. That determination must be made in person after your Plastic Surgeon has measured you carefully and discussed your expectations/limitations of the procedure with you.All the best

Thank you for the question and pictures. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "D or DD cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.