Wanting some input on breast size and projection for my body size/shape (Photo)

Dear TerrificTexan,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

My advice is to let your surgeon advise you as to the profile and size that is best for you. I do it biodimensionally, based on the diameter of the breast. Of course you are a partner in the decision, but let your surgeon use his or her experience. That is what you are paying for.

In general, breast implants will help you meet your goals. That size implant does sound reasonable, however your optimal result will come from tissue based planning once your surgeon takes your actual measurements. Although your nipple is not particularly low, there is a fair amount of lower pole skin left, therefore a lift procedure may be required to reshape the lower pole.