Can I achieve a rather big, but "natural" look with the 2 options that was suggested to me by a PS? Hoping to be D/DD

It is my opinion that 500 cc High Profile breast implants in the partially subpectoral space will give you just what you are looking for.  Ultra High Profile breast implants will give you the phony look you were trying to avoid.  Congratulations.  You have begun your journey to having a great breast augmentation, and the size and shape of breasts you are hoping to attain.  Your breasts point to the outside because you have a relatively narrow chest for your height, and the breasts follow the curve of the ribs.  The good news is that 500 cc high profile implants will act as an extender of the anterior portion of your ribs, therefore turning your nipples back so they don't point quite so far to the outside.  Even larger high profile implants will have a greater base diameter, therefore giving the impression that the nipples are even more centered.  However, it's a tradeoff and you may not want the increased size of your breasts overall.  Unfortunately, mid-range implants (moderate plus) made by both American manufacturers are under filled.  The implant themselves, being more flexible, will follow the curve of your ribs leading to nipples pointing even more dramatically to the outside.  There are many variables you need to discuss with your Board Certified plastic surgeon:  route of entry, increasing the dual plane to get rid of your minor droop, above or below the muscle, etc.  Be sure all the necessary questions are answered during your consultation.

Your breasts have a nice starting
shape, and in my opinion, you would do well with a moderate profile gel implant
that fits your breast measurements. Using 500 ml high profile implants will likely
not give you a natural slope. . . Most of your wish photos have the
"half cut melon" look for sure. To help clarify your desires and
goals, I would suggest 3D imaging so you are sure your expectations will be
met. This operation is something you want to get right the first time. Thanks
for sharing.

Thank you for your question.  The Ultra High Profile implants are going to give you the most projection, and aren't necessarily made to give the "natural slope" you mentioned.  It may help you to see other patients who have had similar implants with a similar body type to you.  This obviously will not give you an exact idea of what your results will look like, but I would request to see a Before & After photo album for you to get a better idea of the look you can get with the ultra high profile implants.It is also to remember what you fill most comfortable in.  If you are wanting a larger size and fuller breast, that may be why the doctor suggested the ultra high profile implants because you can get more volume with those than other implants, especially when you have a smaller frame.  If you would like more information regarding breast augmentation, you can download a free copy of my Breast Augmentation Planner at ABetterBreast.com.Good luck!

I see some inconsistencies in your expressed desires and pictures shown. We have found dimensional planning, the use of sizers coupled with Vectra 3 dimensional imaging to be helpful to our patients in selecting breast implants that are right for them. Find a board certified plastic surgeon in your area who does this and it should make for a worthwhile consultation.

You have nice shaped breasts and should get a nice result with augmentation. If you want "a natural slope with roundness", than those implants will not give you that; you will get "half cut melons" which you do not want. I'm also confused about your inconsistent "wish photos". The second frontal view looks fine, balances the woman's hip with the breasts. The last photo looks totally fake. So, you have to decide what you really want; natural vs fake. If you lean toward the latter, than go for the melons.  You might want to seek another opinion before committing to surgery. Good luck.

and when trying to achieve the look you posted, it will not be 'natural' as it will always be obvious to the trained eye that you have implants.  Assuming you are okay with the implant look, with sizers helping you choose the volume, your profile implant should be chosen on your body dimensions.  And if possible, its probably a good idea to avoid UHP due to the physics and the effect they may have on your overlying breast tissue.

Thank you for your question and for the photos.Of the choices I believe you will achieve your results with the high rather than Ultra high projecting implants.  500cc implants are on the large size especially for a slim woman so you will be pretty large which may or may not necessarily be "natural', but that tends to mean different things to different people.I do think that type and size implant will get you close to your "ultimate wish photo" look .Good luck.

Thank you for your question.  As seen on your photos, you are starting out well.  You are slim and has a good anatomy to get a great outcome.  Implant will give you the fullness that you are looking for.  However, ultra high profile implants will not give you a "natural look."  If your goal is to be fuller, yet "natural," moderate plus profile or high profile will be better for you.  Please talk with your plastic surgeon to relay your wish.  You can also get a second opinion from another board-certified plastic surgeon.  Good luck!

Thank you for the question and pictures. Based on your photographs, you are starting at a good place and should have a very nice outcome with breast augmentation surgery. 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. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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. I have found that the use of words such as “natural” or "D or DD cup" or "half cut melons" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. Therefore, I ask that my patients not base their communication preoperatively OR their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. The use of computer imaging may be very helpful during this communication phase.
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. The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link (dedicated to breast augmentation surgery concerns), helps. Best wishes.

It is not reasonable or feasible to choose a result and get a plastic surgeon to do it any more than it's reasonable to just choose an implant volume and make it work. Breast augmentation is taking an existing breast with its characteristics and filling it out with pillow volume from behind. To force a result risks distortions, problems, revisions, and the unnatural look you describe. For breasts that are average width (not too wide or too narrow) for the chest circumference, the largest increase in size that the breast will allow for in one subpectoral procedure is about two cup sizes from what you start with. In your case your breasts are off-axis (pointing more laterally) and would be very full off the side of your chest as they are expanded.The way to determine the correct implant (round, smooth surface, below the pectoralis muscle) is to measure the width of our breast upright with arms down and then choose a high profile implant that is about 3/4 to 1 cm less in diameter from your chest width. The implant then needs to be positioned properly by the surgeon and you help get it healed there. It should look natural and about two cup sizes larger than what you are now.