470cc Mod profile or 540cc High profile, which is best for my body type? (Photo)

When I perform a lift at the same time, I usually use the smaller implant so that it has less risk of sagging again. I certainly would not go over 500 cc's.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.

Thank you for your pictures and your question.  This is an excellent question that is very common.  In general, HP implants add significant projection at the upper pole of the breast.  MP implants will add projection, but create a more natural transition.  Here in San Diego, where I perform breast augmentation both with and without implants, I counsel my patients that HP will appear a bit more "augmented" (i.e. your friends will easily see you had a breast augmentation, whereas a MP will appear more augmented with support.  If you want alot of fullness and you want to have a significant change, a HP may be a good option.  The nice thing about MP, is that you can have the best of both worlds:  with a sports bra, the change is full but not "in your face"...if you want to show off your breasts more, a push-up bra will really accentuate your implants.  I would definitely seek the advice of your board certified plastic surgeon.  One of the strategies that I find extremely helpful is to have patients bring in photographs of the shape of breast they want to achieve.  From there, I find that we can get a very good handle on what shape will fit you best.  We usually decide on a range of implants (within 50 ccs or so).  I use intraoperative sizers (i.e. a test implant..either a MP or HP) to best fit the look that we discussed preoperatively.  I find this strategy works very well to pick the right implant.Best of luck with your surgery!!! Dr. Pacella