Will 440 cc silicone gel high profile get me the big fake boob look that I want or should I go even bigger? (photos)

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  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.  This entire surgery
can be performed with a small incision technique.  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

Yes, I believe the size and style you are considering will get you close to your wishes.  I would recommend round, not anatomic.  Ask your surgeon about textured versus smooth.  If you have not had pregnancy, you may want to prepare your skin to minimize the development of stretch marks.  I hope the surgery goes well.

Hello,Please don't be under the misconception that you can choose any size implant you want to achieve your desired appearance without potentially severe consequences, either early or late, that necessitate unplanned re-operation. You should visit a few ABPS certified/ASAPS member surgeons expert in tissue based implant selection to determine what is your maximum tissue capacity, and prioritize that first over your aesthetic goals. Best of luck!

Thanks for your question and the photos. Yo appear to have a good starting situation, and don't appear to need a lift. Choosing an implant that fits your frame is a process. I find it helpful to look at implant sizers on my patient's frames. First we find an implant width that fits the width of the chest and balances with the hips. Once we like the width we look at high, moderate or low profile  to achieve your goals. From your goals I think high profile makes sense. It will give you more upper pole fullness and not be super wide. Saline gives even more upper pole fullness than silicone so it is something you may wish to consider. From your photos I can not tell if 440 will have correct width. Trying on a sizer would help. I have included a sizing link below to help as well. Best wishes

Dear Mwallace7781If your goal is the first photo, I agree that 440 will give you a similar look. The second photo appears larger to me and perhaps going to an implant closer to 500cc might be a better choice. It is very helpful for you to try sizers in your surgeons office to get a better feel for the actual feel and weight of the implants.