Am I too wide for a high profile implant? Undecided between mod profile and HP (Photo)
Doctor Answers (10)
High profile implants are generally for women with narrow chest.
What profile implant?
Once you get to implants above 500cc then they should fit your frame
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Profile effect vs width of implant
For round, smooth surface, implants positioned behind the pectoralis muscle for the upper part of the breast, the key measurement is the width or diameter of the implant (which will also determine the height of the implant) in relation to the width or diameter of the breast it is filling out. Too wide will not fill it out properly and will distort it and too narrow will also not fill it out properly. If the implant is the proper width behind your breast (about 3/4 to 1cm less than the external width of your breast upright with arms down) then the effect of increased size of the breast will be determined by the forward volume (profile) of the implant.
For breasts with average width relative to the chest circumference, the effect of a medium profile (not called that in silicone gels) implant fitted to the width would be to gain about 1 1/2 cup sizes. A high profile implant of the same width that fits the breast would increase apparent size by about 2 cup sizes. If the breast is unusually wide for the chest then the effects (and volume) of the implant profiles will be greater. If the breast is narrower than average then there will be less effect from the profile choices.
If your breast width is truly wider than average for your chest around size then you will get more size increase effect from either a medium or high profile round, smooth, silicone gel-filled implant than someone with a more average breast width. The number of cc's is determined after the diameter of the implant and its profile is determined, not by starting from the number of cc's and working backwards.
According to my thousands of measurements of breast width (not published however), the average width for a 34 in. chest is 13 cm.
Am I too wide for a high profile breast implant
Understand that breast implants larger than 500 cc to carry a higher risk of complications such as capsular contracture.
Am I too wide for a high profile implant? Undecided between mod profile and HP
Thank you for the question and picture. Based on your photograph, you are starting at a great place and should have a very nice outcome with breast augmentation surgery. In regards to specific size/profile of breast implant, despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 2. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
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 or D cup" or "semi-fake" etc 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. The use of computer imaging may be very helpful during this communication phase.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link, helps.
Breast Augmentation- Which implant is best?
Choosing The 'Right' Breast Implant
The manufacturers then offer different profiles. Typically this is done so that the breast implant fits within the natural outline of you breast so that the implant does not 'announce' itself. (The fake look that you mentioned). Looking at one manufacturer's catalog (Mentor) - you can find a moderate profile implant of 650 cc is 16.5 cm wide and projects 3.9 cm. The high profile is 14.4 cm wide and projects 5.7 cm. The moderate plus is in between. Converting to inches, the difference in width is less than one inch.
Your plastic surgeon will have made measurements of your breast width. And so you would probably want an implant that fit within those measurements. Your upper pole fullness would be a function of how wide your implant is, but also the size of your skin envelope. Your side breast appearance would usually look better with the higher profile.
Take some time and discuss this with your surgeon. Any experienced board certified plastic surgeon should be able to guide you on what to expect with each available profile. And you can also ask how you would look in and out of a bra. Best of luck to you.
Moderate versus high profile implants - #breastimplants
Implant profiles and how to choose
I feel the term High profile is a misnomer.
You are on the right track when you are looking and thinking about the width of your chest.
Here is what I tell my patients. For the most part, we want to fill the space between the breast bone and the edge of the armpit with the implant; too wide an implant, and the implant has only one way to go, and that is out to the side, too narrow and it will leave too much space.
For any given volume the manufacturers give us several different widths, but unfortunately they call a normal width implant moderate profile and a narrower width mod plus and a very narrow implant hi profile, because as the implant width narrows the volume is expressed by a more projecting ( sticking out) implant.
With a 650cc implant, which is quite a large volume, you may only have room on the chest wall for a high profile device. You should be able to tell by the measurements your surgeon has done, or by comparing these to the actual available dimensions on your chest, from the outer edge of your breast bone to the outer margin of your breast. Compare this to the sizes and dimensions listed on the manufacturer 's website.
Again, this is a confusing issue. If necessary, go back and discuss it further with your surgeon.
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.