Will I look top heavy? (Photo)

The more likely scenario is that you will be disappointed with 550.  If you want upper pole fulness the choices are 600 or 675 (upper end of volume range for implant gives more projection).  If you liked the 550 sizer, you will be disappointed as they look smaller in than as sizers.  If the 550 was just at the end of your comfort zone, you will be fine.  The most worrisome thing is that the people that have this conversation beforehand, and then choose the smaller size, are almost always wishing they had gone larger.

Dear Cyndi,Thank you for your question and photos.When considering breast implants in the 450cc or above range, "looking top heavy" will be short lived. Gravity will pull the implants down and out( laterally) and will not be a good look for you. Choosing breast implants this large will unfortunately require future surgeries to put them back in place. Please visit the breast implant revision forum on this site to see the full range of risks and complications associated with dual plane placement of large breast implants. Please choose the smallest breast implant possible to minimize long term complications.Best wishes and kind regards,Gary Horndeski M.D.

Hello,It is a bad idea to use photos as a means of communicating goals to the surgeon when the model in the photo has a different body type then the patient. The question of proportion is frequently interpreted differently between surgeon and patient, leading to confusion after surgery.  It is best to use in office sizers to see how you will look in the mirror. Given your height and weight, very large implants will not be flattering. Best of luck!

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

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Have you tried on sizers in the doctor's office ?  This goes a long way in determining how the implants look on you, and in various types of clothing.  I will  make size recommendations based on how much your skin can safely hold, but the way the implants affect your figure is very much a personal decision that I want patients to participate in.

Thanks for the question. In my practice for cases like yours, I recommend you to use microtexturized highly cohesive silicone breast implants ("gummy bear" implants), with high projection.Kind regards,Dr. Emmanuel Mallol.-

Thanks for your question and the photos. I don't think the wish picture is completely attainable because the breasts shapes and nipple positions are different b/w the two of you. You appear to have a fair amount of native breast tissue. The most important thing is to choose the implant that fits on your base diameter. I'm guessing you are 13.5-14cm and 550CC is probably an upper limit. That said, statistically you are at higher risk of malposition and asymmetry as well as revision with these larger sizes. Going up to 650CC will only increase those risks further. My suggestion would be to get to your target weight and then try to do a 3D simulation. Find a Board Certified Plastic Surgeon in your area that is an ASAPS member. The Smart Beauty Guide is an excellent resource. Best of Luck!

I have a couple thoughts...First of all there's not much difference between 550 and 650.  I do not know if you have had the opportunity to look at your images on a simulator but if you do you will see that you can hardly tell a difference in those sizes.Also, I am not sure that you will achieve your look that you portray in the last picture because your nipple areolar complex is not centered over the breast and you may not have as much lower pole fullness.That being said, I would go over the sizing again before any surgery. Good Luck!

The breast implant decision depends on the numeric proportions of each patient.  For experience in breast implant size is better to decide on the larger option.  We need to take in consideration that the breast loose up to 20% of the original volume. 

You will look top heavy even with 550 cc HP implant.  Any bigger implant will make you even more top heavy.  It is not about size. It should be about proportions. If you have gracefull proportions there is should be no room left for regrets about size.Think proportions.