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Breast Augmentation, Surgeon Picks Profile?

asked 3 months ago by KateAUS
Latest answer by Gary M. Horndeski, MD
Question viewed 116 times
Tags: consultation, normal, placement

Had BA consultation. I am 5’4’, 110lb, 32 AA, 3 pregnancies. Probbly going for 325cc. We didn’t talk about profile at all, he said I don’t get to choose, it’s determined by my ‘chest parameters’ (not his words). He said he’ll pick it so it’s centered nicely behind my nipple. Is that normal?? Also, I’m anxious about scars, he said he does either inframammary or periareaolar, and it wouldn’t matter, it’s up to me, both are fine. Which incision would you recommend in my case? (very fair skinned.)

12 answers to Breast Augmentation, Surgeon Picks Profile?

Implant profile is usually irrelevant

I usually place implants retro-pectoral and the compression by the pectoral major muscle usually determines the final shape not the implant shape. I see no difference between high profile and normal profile in retro-pectoral position. In terms of the incisions, I use a periareola incision when the patient needs a lift done at the same time. If a lift is not required then I would use inframammary incision. Without photographs, I can't tell which one would be best... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Choosing breast implants and incisions

In my opinion and experience with well over a thousand cases, patients appropriately get the choice of saline-filled or silicone gel-filled implants because I can get an equal looking result with either and the differences between them should be decided by how the patient feels about their advantages and disadvantages. The other choice the patient gets is the forward volume (profile) of the implant. The reason for this is that if the implant is sized properly for the width (which is also the... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Implant Selection

In my practice I have women select implant sizes and profiles with suggestions from me. If they select implants which are far too large, I might refuse to perform the procedure. As a general rule, persons who are fair-skinned will make scars which are better than those with darker complexions. I also allow my patients to select between the 2 incisions that you were offered.

John Whitt, MD
Louisville Plastic Surgeon

Your Most Important Choice is Your Surgeon. Tell them your desires & concerns. Let them discuss their recommendations for you.

You should be most concerned with selecting an experienced board-certified plastic surgeon. Interview the surgeon during your consultation, review plenty of their own photographs, ask to speak to some patients if that will help you decide. The surgeon's service is more important than the implant in determining the quality of your results. Tell the surgeon what you hope to achieve and list your concerns, so that they can take all this into consideration. Finally,... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Implant profiles and incision choice

The style or profile of the implant implant used should take into account your breast and chest dimensions and the desired volume of the implant that is going to be placed. If the implant is too wide for your breast base, it will have less coverage laterally and the implant may be more visible or palpable in this lateral area. I think the periareolar incision heals better and fades faster than the inframammary incision, but it can be difficult to place a silicone gel implant through the... more

Todd C. Case, MD
Tucson Plastic Surgeon

Implants and durability

While I wouldn't say that the choice of implant is solely up to your surgeon, I think that you should listen to why the surgeon chose those specific implants for you. As for the incision approach, it depends upon your anatomy and the type of implant you chose.

Steven Wallach, MD
Manhattan Plastic Surgeon

Who chooses the implant profile

The implant size and profile is usually selected by the surgeon after careful assessment of your expectation and look that you have shown and discussed. When you choose your surgeon you will get his professional opinion and experience. You may be wondering if you should get a high profile implant, and if you can say no to the look. You should ask and express your concern as high profile is not for everybody. If the discussion does not go well you can look for a better listener. Best of... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Implant Profile for Breast Augmentation and Incision for Approach

Thank you for your question. Since scars fade in time, it is up to you to select which incision you would like for the surgery. You can browse the internet to see different people's scars. Google Images has about About 1,190,000 results in 0.35 seconds. As far as the profile is concerned for a certain volume size, e.g. - 325cc for you, your surgeon just wants to make sure that you don't get an implant that is too wide or too narrow. Each implant profile has... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

How to pick breast implants.

Hi. I hope you find this article useful. Let your surgeon select profile. Which incision is best depends on your anatomy. 1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Communicate with your surgeon about implant size and type

There is no perfect process for choosing implant size and type. It is important to have the implant centered behind the nipple or the result will appear unnatural. Also, if the diameter of the implant is not matched to the diameter of the breast, it will not look right; either too wide a gap in between or implants too wide squeezed in forming ripples. So the first step is to choose size (volume), and there are various ways to do this. Once that is known, then the right profile can be... more

Richard Baxter, MD
Seattle Plastic Surgeon

Picking Breast Implant Profile?

Thank you for the question. What is “normal” practice will vary from one plastic surgeons practice to another. In my practice, after careful communication with the patient ( I prefer the use of goal pictures), I generally select breast implant size and profile. 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 breast implant profile (low, moderate, moderate plus,... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Choosing breast implant profile

I usually chose the profile but in consultation with my patient and taking into consideration what her goals are. The size of your chest as well as the location of your nipples and skin fold under your breast are all parameters that will affect the profile of the implant as will the size of the implant which you have chosen. You should be able to ask your surgeon which profile he has chosen, why, and what ar its dimensions. As far as incisions, I tell my patients that the periareolar... more