I am a 44H bra size, I am 52 yrs old my weight is 260, I have lost 10 pounds. (Photo)

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Thank you for your questions. The picture is not very helpful unfortunately. If your breasts are large and you think you would benefit from a reduction, then have your primary doctor send a referral to a local board certified plastic surgeon for a consultation. Most likely that doctor (or your insurance) will require you to lose weight prior to surgery. It is best to obtain a BMI of 30 or less prior to undergoing surgery. I do not know your height, but guessing an average of 5' 5", this would put your BMI at 43. At that weight, proceeding with surgery would be very unsafe and have a high risk of complications. If your height is 5' 5", you would need to shoot for a goal weight of under 180. This is a significant amount of weight to lose and if you have not considered it before, you may want to look into bariatric (weight loss) surgery.Hope this helps!