Will 520cc high profile implants look fake/too big on my 5'2, 135lb frame? (Photos)

Thank you for your question and the photos of you and your wish pics. It is important to not that your anatomy is different form the wish pic photos that you've attached. Your nipple position is lower and there is minimal skin of the lower breast seen below the border of the areola. You have a high tight crease (inframmamary fold) and the implant is going to have a hard time settling down into the pocket without either lowering the crease and/or doing a lift. The goal should be to give you the look and shape that you want, rather than focusing on a cup size. Realize that a large part of the implant (the upper part) won't even be in the cup of the bra. In my hands, I would to a mastopexy and augmentation to try and center the nipple areolar complex on the implant. I would try not to purposefully lower the IMF as there will be potential for a double bubble. You have a fair amount of breast tissue and so I don't think that you need anywhere near a 500cc implant to accomplish the fullness your wish pics show. I would use either a Low Plus or Moderate implant 300-400cc depending on the desired shape. Nothing about a HP 520cc implant is natural or subtle. Best of Luck!

Dear MamaMiaMakeover,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

When sagging breasts are enlarged with implants without lifting, there is a high possibility that the breast shape will not be good after surgery (Snoopy nose deformity or waterfall deformity) if a moderate profile is used. Rather, using a high profile is advantageous in improving deflection. However, 520cc is expected to be too large and unnatural, and around 300cc seems to be appropriate.
If you do periareolar mastopexy, the sagging breasts will be properly corrected and the shape will be better, but if you do lifting like this, the shape will be fine even if you use moderate projection.