Implant height is very rarely discussed here. Would anatomically shaped "tall" implants be appropriate for me?

One of the most important aspects of selection of the implant will be the distribution of mass of your current breast tissue.  Most women have more mass at the inferior aspect and, as such, an anatomic implant will exaggerate this and create a more matronly look, which is fine as long as you are aware.  I would recommend submuscular placement over subfascial placement for a number of considerations articulated by other surgeons.   Also, realize that anatomic implants can produce a deformity with any rotation within the pocket.

Hello and thanks for your questions.  For patients who are interested in an augmentation with very natural look, shaped/anatomic implants are a great option.  As a rule of thumb, I consider using Tall implants in those patients who are 5'8" and over, but it definitely depends on each patient's unique anatomy.
Based on your measurements and desired very natural result, you seem like you would be a fantastic candidate for tall implants with moderate plus or potentially high projection.  Including photos would be very helpful to me and the other experts offering their opinions here on RealSelf in order to give you the best advice possible.
I would encourage you to schedule a consultation with an ABPS board certified plastic surgeon in order to explore your best treatment options.  Make sure that you see multiple before and after photos of results that you like so that you have a very good idea of what you want so that you can develop that treatment plan with your surgeon.
Best wishes!
Dr Brown

I appreciate your question.

The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  

Silicone will give you a fullness at the top (upper pole fullness).

Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.

Anatomic gummy bear implants might be a good choice to give you volume.

These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.

During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon