Breast Implants: Q&A

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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

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15 Doctor Answers | Asked by ItsKasey in Tucson, AZ

Doctor Answers (15)
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Moderate Plus vs High Profile Implant

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... more

Implant profiles in saline and silicone

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... more

What Implant Profile?

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... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

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

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.

Different Recommendations from Different Plastic Surgeons?

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... more

Large implant equals greater rise of stretch problems with breast augmentation

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.

Implant profile choice for breast augmentation

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... more

Different Recommendations for Breast Implant Shape

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.

Breast Implant Profiles

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... more

Is high profile right for you

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 more

Implant Profile

I agree with the responses below that 800cc is quite large. I would advise my patients from going that large. Remember the larger you go, the more they weigh, the more they can will go south on you. However, I am guessing this is why one surgeon recommended high profile implants. The surgeon was most likely thinking of the implant not fitting entirely on your chest due to the large diameter of an 800cc implant.

High v. moderate profile implants

800 cc is a very large implant and my concern would be whether the implant will extend out into your axillae and create an unnatural appearance. It is impossible to comment intelligently in the absence of a photograph.

High versus Moderate Profile Implants

For a given volume, a high profile implant will have a smaller base diameter than a moderate profile implant. Your surgeons may be measuring slightly differently or feel that the different implants will work well with your body. One word of caution is that an 800 cc implant if fairly large. If you post pictures we may be able to give you more specific advice for your surgery. Good Luck.

Implant profiles

First, I will say that 800 cc's is the biggest you get, and the larger the implant the more potential problem there is. As for profile I choose them based upon the patient's anatomy. Most of my patients are very narrow and requie HP to get the projection and volume that they desire.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Which Profile Breast Implant

If you are using 800cc, that is extremely large and the Moderate profile will be quite wide, probably well back into the space under your armpits. Most patients don't want an implant that their arms constantly bump. The high profile will be less wide and there is some evidence it will have less rippling if it is saline, althogh that is open to discussion. The moderate plus has the more natural look. Ask your surgeon to show you a chart re what width the different implants are since they... more