Short waist/broad shouldered implant choices? I am 5'5, 131 lbs. Advice on profile? Size?

Given your goals and pictures it appears you would do best with a lift and augmentation with high profile implants. Lower profile implants are wider than high profile implants of the same size. Therefore, the lower profile implants may stick out on the side and make your chest look wider. The lift will make your torso look longer, so don't worry about that. And you belly will look small with bigger more youthful breasts. Of course it is difficult to give you recommendations on pictures alone. A consultation with a board certified plastic surgeon will give you a better idea.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a breast lift. Your nipple sits below the
inframammary fold and without a lift in addition to the implant, this will not
have a natural shape.  A breast lift with an implant can result in a very
nice shape if good technique is used.  The size, profile, and shape of
the implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I agree with those noted below - a lift will help with the appearance of the torso. In conjunction with a 350-450 implant, depending on your tissue characteristics, it would hopefully satisfy your aesthetic goals. I recommend consulting with a board certified plastic surgeon to discuss all of your options.

Hello and thank you for your excellent question. It is VERY difficult to choose an implant based on a photo and a description. I would suggest something in the 300 - 450 range, high profile silicone implants, but this is really a shot in the dark without an in-person evaluation. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck!

Best,
Jon Ver Halen, MD FACS 

Harvard educated plastic surgeon

Thank you for your question.  I think the breast lift will correct your concerns about your torso looking shorter.  High profile implants may be a better choice because of your concern about your torso looking shorter.  Please consult on experience board certified plastic surgeon.