What size and type of implant would best suit my breasts/ body type?

Hi Sandie,I wish you the best on your upcoming surgery!  Here are a few tips. This is perhaps the
hardest decision for a patient to make, as well as the surgeon. Cup size
estimates can be misleading, but I generally advise patients that they will
experience an increase of approximately one cup size per 200 cc. You can try on
implants in the office by placing them into a special bra.Approximately 50 cc (1-2 oz.) is added to the
final volume to account for flattening of the implant in the partial
submuscular pocket. Once you decide on a size you like, then add on about 25-50
cc, because in real life the implant will be flattened slightly by your
tissues.Multiple measurements need to
be taken to fit an implant to your exact anatomy. Have your surgeon's
office show you the charts of the implant dimensions for the various profiles
of silicone and saline from the manufacturer. Then you and your surgeon
can piece together the puzzle by matching your measurements, with your wishes,
versus your tissue cover and the available implants to arrive at
a surgical plan.Keep in mind
larger implants tend to have more problems over the years.Since silicone implants wrinkle less than
saline implants, they might be your best bet.You can also approximate this at home by
measuring out an equivalent amount of rice placed into a cutoff foot of old
panty-hose, and put this in your bra.Wear this around the house for a while, and see what you think.Implant size must square with assessments of
tissue cover, breast diameter, and chest wall width. Multiple measurements of your chest wall are taken (seven in
total). Implant size selection has been
an issue of much discussion. Therefore, I use a wide variety of
methods, but the implant size is always established preoperatively.Also, patients are advised to bring reference
photos demonstrating their ideal size and shape. A photo album of patient
pictures is maintained to assist them. These photos ultimately help in
determining where the implants will be placed, since they can be shifted inside
(to provide more cleavage), to the outside, up or superiorly, and down or
inferiorly during surgery. In determining the final size selection, I always
place the highest priority on the preoperative measurements and potential
tissue cover. Then, the patient’s verbal requests are factored into the
analysis.Our average size over the last
7,000 implants was 350. Please see the web reference link below about the quick recovery approach.Be sure to see only a board certified plastic surgeon (by ABPS - The
American Board of Plastic Surgery) who is a member of ASAPS (The American
Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American
Society of Plastic Surgeons). Also, ask if they have an established, high
volume breast augmentation practice, performing several hundred breast augmentations
each year. Be sure the PS has been in practice for a while, 20-years or more
might be a good gauge.Does the PS offer
all three incisions?Discuss the implant
type (gel or saline), shaped "gummy bear" or non-shaped, smooth or
textured, implant pocket (over or under the muscle) and the "quick
recovery approach."Ask to see
their before and after photos if you didn’t see any on their website. If
they are experienced, they should have several 100 breast implant patients for
you to view. I would also recommend that your doctor offer you the chance
to talk to past patients who would be happy to discuss their experience with
you. You need to feel comfortable, so make sure the environment is safe
as in an accredited surgery center. Also, ask a prospective surgeon if he or
she has ever published journal articles in professional peer-reviewed journals,
which they can provide you.All the
best, “Dr. Joe”

That depends on multiple factors including what size you wish to be, what look you wish to have, and the measurements of your chest...especially the breast base width on each side.  Some surgeons will then pick the implants for you based on that or similar information.  Others use sizing implants and allow you some further input into the process.   You should also bring pics of breasts that you like and ask to see before and afters with similar frames as yours.  Without further information and an exam, that is a question that can't be adequately answered via the internet.  However, you are a great candidate and a good plastic surgeon should be able to provide you with an excellent result.  Good luck and take care.