Will high profile be good for my breast shape? (photos)

Dear cuteseybum,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi and welcome to our forum!
From your photos, I note that there is minimal sag and the breasts appear deflated. The nipples reside above the fold at the bottom of the breasts and are relatively symmetric. Breast augmentation should be considered.
Every individual has a different concept of “normal” breast size. In addition, there is no standardization of bra size in the manufacturing industry. One company’s “C” is another company’s “D”.
There are various ways to determine desired breast size. Bringing in “wish pix” to demonstrate to your surgeon will make him / her aware of your anticipated goals. Placing an implant in a bra gives an extremely rough idea of anticipated breast size. One may estimate volume by adding rice to a baggie (1 cc = 1 ml) and adding the volume to your breast beneath a bra. Some surgeons offer computer imaging.
Implant sizing is a lot more than volume ("cc.") The specific dimensions of your chest wall must be taken into consideration. The width of the breast, your desired projection, and the desired volume together determine the correct range of implant sizes.
An important measurement is the base width of the implant. If you drop a vertical line from the medial most and lateral most aspects of the breast, and measure the distance between them, this suggests a base width (the footprint of the implant). If an implant is too narrow, you will not have adequate cleavage. If wider than the base width, you will have excessive cleavage and “lateral boob”. The fill of the implant then determines the amount of forward projection. I recommend you visit an implant manufacturer website (e.g. Mentor, Allergan, etc.) as they will list base widths, fill options, and projections for each implant size they offer.
Younger individuals may prefer the "high profile" look, but as one ages, a more conservative look may be desired.
You can trust the recommendations of a board-certified plastic surgeon. If unsure, seek a second discussion with your doctor to ensure you are on the same page.
Best wishes…