Are High Profile Implants Recommended for Patient with Wide Chest?
- Asked by ABitNervous in Santa Monica
- 4 years ago
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?
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. I hope this helps!
James F. Boynton, M.D., F.A.C.S.
Web reference: http://www.BoyntonMD.com
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 post below.
Happy New Year!
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 important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational. As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. By the way, the most common regret after this operation, is “I wish I was bigger”. I hope this helps.
Web reference: http://www.poustiplasticsurgery.com/choosing-your-size.htm
Recent Breast Implants Reviews
Breast Implants Photos
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.
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.
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.
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 full you want to look.
Web reference: http://www.randcosmeticsurgery.com
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 and high. For each volume (size) of implant the diameter gets smaller anbd the projection gets greater as you go from low to medium to high profile. This is the time to ask all your questions - so if you have concerns go back to your surgeon and ask questions so you are sure you are getting the style that will best fit your body and give you the look you want.
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 out onto the side of the chest, again an awkward result. When the breast is widely spaced that high profile implant may appear widely spaced as well, and as the projection is higher you are likely to end up with a 'canyon' effect between the breasts. Given your chest and breast I would suggest a larger base diameter or footprint in the implant an a more moderate profile if you wish a natural result.
Best of luck,
High profile breast implants are good for narrow breasts.
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.