Why do some profiles of breasts look different? (photo)

Thank you for the question and pictures. Very generally speaking, higher profile silicone breast implants tend to achieve an outcome that is more similar aesthetically ("full round")  to what may be achieved with saline breast implants.  Of course, there are many factors (especially the specific patient's anatomic starting point) that come into play when it comes to the final aesthetic outcome achieved with breast augmentation surgery.My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
 
Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural or round look” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with. 

Thanks so much for your question. You definitely can have a full look with a silicone implant. Silicone implants come in multiple different wiSeth’s and multiple different projections. You can also have implants that have more cohesiveness which will increase the overall  projection for most patients  Speak to your board-certified plastic surgeon and make sure they thoroughly go through things so that it makes sense. It can be a confusing issue that’s made very simple when you have a thorough discussion with your plastic surgeon.