Best implant for someone who is tall and quite thin? I'm 6'2'' and weigh about 145lbs. (Photo)

Thank you for the question.  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 "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 (and the attached link, dedicated to breast augmentation surgery concerns) helps. You will find a separate page, on the same website, dedicated to breast surgery for patients with pectus excavatum. Best wishes.

Yes, you do appreciate your asymmetry and the problems that will come of that.  You will need to pick the side you like best and try to have your surgeon place the implants so your upper poles are level when you are wearing a tank top/no bra.  I wouldn't try to level your nipples until you were happy with implant position as there are just too many variables to deal with.  Going as large as your dreams would leave you with ripples and thinning tissues as you age.  Can you find a compromise where you still have ample size and less risks?  As for different sized implants, be certain it is what you need as I explain small differences as this... golf ball and ping pong ball side by side - very easy to see which is bigger.  Add softball to each and then now tell me... its much harder to appreciate size differences when much larger.  Best of luck in getting what you desire.