High Profile Implants for Droopy Breasts?

Question

I am 115 lbs and 31" chest. I am a somewhat droopy B cup. Nipples do not point downward. I lost a significant amount of weight and lost breast volume. I went from DD to B.
My ps said my skin  held up quite well and I could easily get a little perkier with just going to a full C aka victoria secret D and high profile. Will the high profile make me look like I have side boobs or fake too large for me? I have a small waist and carry most of my weight on my bottom half (kept my curves)

Larry S. Nichter, MD, MS, FACS · Answer

Without photos or an exam it would be not be possible to give you the best opinion, for example if a lift is needed or not. Here is some helpful information however: It is very difficult to determine the exact size and  profile shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link:

Jerome Edelstein, MD · Answer

If you have mild to moderate sagging, then implants alone can definitely lift the breasts without mastopexy surgery. They'll give your breasts more projection since the profile will be higher, which means you won't get too much side boob. You can keep them small so they don't look too large.

Otto Joseph Placik, MD · Answer

High profile implants are less likely to cause "side boobs" than the moderate profile implants which have a wider base diameter.

Steven Wallach, MD · Answer

If you have some sagging, you more than likely will need a lift even with implants. The HP's depending upon how you are sized will give less side breast and more projection as compared to the others of the same volume.

Peter A. Aldea, MD · Answer

Probably NOT - but impossible to answer.
When you lose weight (and breast fill), the breasts become deflated. To get them to where they were, or better yet, to a better looking point, the emptied breast envelope has to be filled to the desired point. No More.
SIDE BOOBS - refers to the appearance of full breasts whose base is too wide to maintain flat-fore ward facing footing and projection. Instead, they slide sideways ESPECIALLY in narrower chest and especially pigeon chested women.
So, the question for your plastic surgeon SHOULD BE : based on my chest wall appearance AND the amount of my breast  tissue which breast implant (diameter and projection) would best be covered by my breast tissue and stay on my chest wall (without falling sideways)? That analysis is not provided by the measurements you gave us and needs to be looked at by your surgeon.
Generally speaking (meaning it may not even apply to you), in most but the most narrowed chested women, a deflated breast will do better with EITHER Mentor moderate Plus (style 2000) or Mentor High Profile Gel implants (which have a slightly wider base) than a high profile saline implant (either Allergan or Mentor).
I hope this was helpful.

Jennifer L. Walden, MD · Answer

High profile implants have a narrower base diameter for a given volume. Therefore, these would be less likely to give you side boobs as you describe it when the breast implant extends laterally outside the dimensions of your chest wall. You will likely have more projection with high profile implants, a "chestier" look that is good for filling in a lax skin/ tissue envelope, but will be less likely to have fullness on the sides for a given volume than if you went with a moderate profiled implant.
Moderate plus or midrange profiled implants are a nice, natural "in between" for those who want to stay in the C cup range but have an average sized base diameter. I can't make a recommendation for you on size since I have not examined you, so would encourage you to discuss with your PS. For women with a narrow base diameter who want to go to a full C, high profile implants may be the way to go.

Tom J. Pousti, MD · Answer

I would recommend going with moderate profile or moderate plus profile especially because you are very petite. High profile implants are used for patients with very narrow chests or concaved chests. You may end up with projecting looking breasts which will not give you the natural look. You can still have good sized implants using moderate profile implants.

Robert Vitolo, MD, FACS · Answer

Natural ptosis or 'droopy' breast can be corrected to some extent with anatomical implants but a Mastopexy or breast lift may be required in your case due to large weight loss. Today, plastic surgeons have access to a large catalog of implants. From silicone to saline. There are round, oval, low profile, moderate profile, and high profile implants. Silicone gel, cohesive gel, saline filled implants. The success of a natural looking result in your case involves many factors aside from implant shape and size. You also need to take into account implant placement sub-muscular or sub-glandular. The amount of breast tissue that you currently have. Your skins elasticity. And the significant weight loss resulting in a volume change from DD to B cup.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question

	High Profile Breast Implants are Narrower and push the breast forward. If you simply need volume a moderate profile plus will give you a more natural look.

	If the implants are placed correctly "side boobs" should not occur. If the Nipple Areola is below the crease under your breast you will also need a lift.

Richard P. Rand, MD, FACS (retired) · Answer

The HP implants are sized by diameter just as are the mod and mod+'s. So if you go with too wide a HP you can still get "side boobs" or a unibreast. Without a photo I can't say but it is a RARE patient who was a DD that doesn't need a lift.

High Profile Implants for Droopy Breasts?

Answers (10)

More Breast Implants Questions

WE SEND PRETTY
EMAILS

Answers (10)

More Breast Implants Questions

Will 400cc HP Breast Implants Look Fine on Small Frame?

More Proportional Feminine Look Through Breast Implants?

Is $12,000 Too High for Breast Lift with Implants?

Saline Breast Implants for a 19 Year Old?

Are High Profile Implants Recommended for Patient with Wide Chest?

Saline Breast Implants on Thin Patients?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS