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Are High Profile Implants Recommended for Patient with Wide Chest?

My appointment is this week and I'm a bit nervous about the result. I have a wide chest and sternum. I'm a B cup with good breast tissue.

The doctor recommended 375cc high profile when I told him I wanted a proportionate, natural look. Everything I've read on high profile implants says that they are best on narrow chests. Will I look fake and odd?

Asked 28 months ago by ABitNervous in Santa Monica

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breasts chest female 350-399cc B cup high profile natural

How to choose between high profile and moderate profile breast implants

It seems we are all in agreement that high profile implants usually work best on a narrow chest wall. As many of my colleagues have pointed out, the high profile gives you more projection and it is not as wide at the base. Thus, it will not look like the implant is encroaching under your armpit. However, there are exceptions to this if you have a convex chest wall (outward). To learn more about how to choose between high profile and moderate profile implants please see my video and blog... more

Ricardo Rodriguez, MD

Baltimore Plastic Surgeon

ASPS

Breast sizing

I would generally not recommend high-profile implants for patients with your body type. Much of the final “look” achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

You are right

On a narrow chest I believe higher profile implants allow more volume without distorting the anatomy as much as lower profile implants. There is not one correct answer to your question. By your photos you do not look like you have a wide chest, and higher profile implants will allow you to have more volume without distorting your anatomy.

Dev Wali, MD

Los Angeles Plastic Surgeon

Wide chest

The choice of implants depends upon numerous factors including your general anatomy and your volume requests. But you might need wider implants to help with the lack of cleavage.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Are High Profile Implants Recommended for Patient with Wide Chest?

High profile implants will tend to lower the incidence of visible rippling inyour thin body type but will not promote cleavage due to the pre-existing wide separation of your breast mounds.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

No high profile implants with wide chest!

The single most important dimension for breast implants is called the base width. High profile implants have a narrower base width than standard or "moderate profile" implants. High profile give more forward projection and less width...looking at your photo...you need width. I would ABSOLUTELY not recommend high profile implants in your case even at that volume. I think you will have an increased space or gap between the breasts which sometimes can look unnatural.& more

James F. Boynton, MD

Houston Plastic Surgeon

ASAPS ASPS

Choosing the right breast implant

You have a very wide separation between the breasts. I don't know just how many cm your chest wall is on each side, but having done thousands of these, I am going to say that probably the base dimension of a 375HP implant is too narrow for your chest and you will look like two tennis balls with a mile between. I would make absolutely sure the base width of the implant is right for you as the most important determining factor in a good result. Then choose the profile depending on how... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Choosing a breast implant

It can be very confusing to choose the right implant style and size for your frame. I have found that it can be vey helpful to have a patient try on implants in different size bras. During this session I can get an idea of what the patients concerns and wishes are and help guide her to the best choice. It is also helpful to measure the womans chest and using the dimensions of the implant to help her with her decision. In general there are three style of implants - low , medium... more

Susan E. Downey, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

High profile implants work best on a narrow chest

The volume of a implant is determined by the base diameter and the implant projection. The benefit of high profile implants is a greater volume and greater cup size as compared to an implant of a similar base diameter. If the chest is narrow this is an effective way to provide a fuller augmentation when faced with a narrow to average chest. If the fuller projection were not available, there is a risk that the implant diameter would be too large running the breasts together, or filling... more

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Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

High profile breast implants are good for narrow breasts.

Hi! 1) I agree with your surgeon about using high profile breast implants, because, even though your chest is wide, YOUR BREASTS ARE NARROW. 2) I think 375 cc implants are too big for you. They will look fake and stretch out your tissues. I recommend using disposable implant SIZERS during surgery to actually see which size implant looks best in your breasts. My guess would be 300 cc's.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

HIgh Profile Implants May Accentuate the Space Between Your Breasts

WIthout knowing your breast base diameter, it's hard to say but in general I use a wider implant in women with a lot of space between their breasts. I, too, let patients select the volume they want, then match the profile of the implant with your measurements. I would not hesitate to select an implant that is a bit wider than your breast base diameter in an attempt to get you some cleavage, at least in a push-up bra. I fully agree that exceeding the natural dimensions of your breast with... more

Doctor's Website

John LoMonaco, MD

Houston Plastic Surgeon

ASPS

Breat Implant Profile

You are correct to be concerned. Your breasts are widely spaced relative to the width of your chest. What I do not know is what the width of your breasts are. Generally, I have the patient try on implants with a bra and "clingy" top and find the "look" she wants. We then look at the size implant she has chosen. We then decide on a rnage of volumes and profiles based on give and take. Things that are considered are: 1. How natural do you want to look? 2. How much... more

John P. Stratis, MD

Harrisburg Plastic Surgeon

ASAPS ASPS

Choosing the right implant profile

There are several things to consider about implant profiles. The usual sequence I recommend is to choose the size you want first, then your surgeon will determine which profile matches the base diameter of your breasts at the chosen size. In your case, the issue of chest width comes into consideration because although you have a (relatively) wide chest, the base diameter of your breasts is not wide. This creates a wider than average separation between the breasts, not that there is anything... more

Richard Baxter, MD

Seattle Plastic Surgeon

ASAPS ASPS

High Profile implants

Choosing the right implant size is crucial in your outcome. High profile implants are typically only used in patients who wish to have a larger volume than their chest can tolerate and, therefore, a higher profile implant will allow more volume. Yes, you are correct that if you have a wide chest, then a high profile implant is usually not needed. Having a "natural" outcome depends directly on the size of your implant. The larger you go the less "natural" the final shape... more

Bahram Ghaderi, MD

Chicago Plastic Surgeon

ASAPS ASPS

Choice of implant

The most natural result is obtained when the implant chosen matches your natural breast as much as possible. A patient often tries to change her breasts and thus must use the implant to achieve this. This then will incur the risks and side effects of the implant. In your situation, the real issue is the width of the implant. Start with a width that matches your natural breast and an implant with the lowest profile. That is the most natural fit. Then you can vary the width or the profile to... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

High profile implants

First off, are you going with high profile saline implants or silicone gel? I am not a fan of high profile saline implants, too much long term tissue thinning in most cases. High profile Style 20 Natrelle silicone gel implants are my workhorse implants because they are a great combination of volume/diameter and, because they are gel, you can get some wonderfully natural looking results. Hope this helps!

Marcel Daniels, MD

Long Beach Plastic Surgeon

ASPS

High profile breast implants for wide chest

Hello, High profle breast implants tend to look more "fake." Maybe you should speak with your surgeon again before surgery if that is not the look you are seeking.