Ask a doctor

In Two Consultations I've Received Differing Recommendations For Implant Profile, Why?

I have seen 2 PS's and have chose to go with one I really felt comfortable with. Both ps's measured my bwd a 14 one PS recommended me going with silicone Mod+ (we agreed on 800cc) the other PS (the one I chose) is recommending High Profile (we decided on 800cc) he said my body could handle that but I will be using saline. Is there a reason one choosing mod+ and one choosing hp? Shouldn't they have chosen the same profile going off my bwd? Or does the saline and silicone make the choice different

Doctor Answers (15)

Implant profiles in saline and silicone

+2

The ideal profile of implant to use should be based on your chest measurement and implant size chosen.  The best profile to use may actually be different in saline vs. silicone.  For example, a Mentor 800 cc HP silicone implant is 15.5 cm diameter.  Whereas an 800 cc saline moderate plus profile implant at nominal fill (800 cc) is 16.1 cm but a 700 cc moderate plus profile saline implant filled to 800 cc is around 14.9 cm diameter.

If your ideal implant diameter is around 15 cm a moderate plus profile saline or a high profile silicone would be appropriate. 

Of course, an 800 cc implant is very large and much too large for most patients.


Salt Lake City Plastic Surgeon
5.0 out of 5 stars 58 reviews

Moderate Plus vs High Profile Implant

+2

When it comes to implant profiles, every surgeon has a different opinion on what does the best job.  However, in reality, the implant measurements tell the story.  In the moderate plus, you have an implant that does the best job of making someone look good, but also still somewhat natural.  The implant is a little wider and projects a little less.  With the HP, the diameter is narrowed and the implants project more, providing more roundness and upper pole fullness ( some women call it the " fake" or "pornstar" look).  In the 800cc, the moderate plus is pretty wide, so if your BWD is really only 14cm, then I would probably be leaning towards the 800cc HP. There is a difference between the silicone implant widths and the saline implant widths - the silicone implants are wider then their saline counterparts.  However, at 14cm, that is narrow enough to still need the HP if you are going for the 800cc.  I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon
4.5 out of 5 stars 27 reviews

What Implant Profile?

+1

You should discuss your concerns with the doctor you selected and ask him/her why he/she suggested the profile over the other doctor's recommendation.  If the answer/response still leaves you wondering, then invest in another consultation with an experienced breast surgeon to help clear the smoke.

Wider implants increase the base diameter more... some doctors advocate not altering the natural breast width due to issue that may occur down the road.  I use wider implants to diminish the distance between the breast mounds and have not had the problems these other doctors worry about so much.  Just realize that with your choice of the largest  "on the shelf" size, you are accepting of the anticipated greater risks in the long run.

Curtis Wong, MD
Redding Plastic Surgeon
4.5 out of 5 stars 17 reviews

In Two Consultations I've Received Differing Recommendations For Implant Profile, Why?

+1

All 12 expert response can help you determine what is better for you. I would return to the PS you liked and ask for a more detailed explanation so you better understand these issues. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Different Recommendations from Different Plastic Surgeons?

+1

Although your confusion is understandable,  it is very common for different plastic surgeons to have different recommendations for the same patient. Ultimately, you will have to do your due diligence and choose the plastic surgeon who you feel will most likely be able to achieve your goals. At that point, hopefully you will have developed a sense of trust and allow him/her to make recommendations.

Assuming both plastic surgeons are well experienced board-certified plastic surgeons you may want to ask them for the reasons behind the recommendations.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

Large implant equals greater rise of stretch problems with breast augmentation

+1

When I evaluate a patient for breast augmentation I first consider the correct profile, next the base diameter and the last factor is volume.   If you have a wide chest and breast base diameter a plastic surgeon will help you pick the correct size.  Remember that time, weight and gravity are not on your side.  The larger the implant the greater the chance of a stretch deformity over the years.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

Implant profile choice for breast augmentation

+1

Each surgeon will have a very specific opinion regarding implant profile.  If you are really a candidate for 800 cc implants you need to know that high profile (as compared to moderate+) will have more wrinkling/rippling.  Saline implants, especially in that size range, will be much firmer, have more wrinkles/ripples, and will be much more visible in terms of edge effects and contours when you are recumbent.  Silicone gel implants offer a much better and more natural result (and are warranteed for life).

 

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 13 reviews

Different Recommendations for Breast Implant Shape

+1

It is not uncommon to have different recommendations but in your case, it is concerning that you are considering 800cc implants with a 14cm base width. These may be too large for you. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast Implant Profiles

+1

Hello ItsKasey,

One can only guess why one doctor recommended MPP and the other HP, possibly the doctor who you like felt that the implant diameter of the HP more closely matched your breast diameter.  Unfortunately, both choices are poor, and will carry a higher risk of complications and early reoperation for you than is necessary.  If in fact your breast base is 14 cm, than I don't need a photo to tell you with conviction that 800 cc implants are wrong for you.  I will quote myself from a previous post here on realself.com:

 

One can't simply pick out an implant size based solely on aesthetics, like picking out a pair of shoes. This thinking is the root cause of most complications that lead to early and unexpected reoperations, and is usually associated with inappropriate implant size or profile. There needs to be an overhaul of the whole process of breast augmentation, towards an objectively defined process that can be measured and real data obtained. It really is not about what size or shape you think you want, its about the right implant size for your anatomy.

Your choice of 800 cc implants is either 1.5 cm or 2.5 cm (almost an inch!) wider than your breast base, depending on the profile chosen, and that is not the only criteria for determining the proper implant size.  Your risk for unpredictable tissue stretch, implant dropout secondary to lowering your inframammary fold, and significant rippling are at greatest risk.

Just look for women who have had their surgery and are now posting questions on this site asking why their breasts are uneven or rippled.  There is at least one a day, and the vast majority that post photos clearly have very large implants, much larger than their anatomy would dictate.

Please reconsider your choices. 

 

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 33 reviews

Is high profile right for you

+1

The question to ask is what look is right for you, and is the high profile right for you chest and breast shape. High profile is still relativly new on the scene. There will be differences of opinion, and some don't like the higher profile as the implant is rather round and can be artificial and hard to hide under thin cover. When you are considering a high profile saline, think as well about the stiffness and flow characteristics.

Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 30 reviews

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.