Smooth Round Moderate vs. Smooth Round Moderate Plus

Some very interesting responses to your questions.

First, I would have to disagree with the concept that the muscle does not flatten out the implant.  Having placed a good amount of implants over the last ten years, I have consistently seen patients complain that they would have gone with a little larger size if given the chance to do it again.  As such, even though there are certainly many factors that contribute to this, I do believe that the more tissue we place the implant beneath, the smaller it will appear.  As such, I almost always upsize my final implant volume as compared to the size chosen during the initial sizing. 

As for profile, I think this is really more of an issue of base width across your breast.  The earlier implants were simply too wide at larger volumes for most patients.  Now, with the proper choice of profiles, we can tailer the look much better especially in women who are slender and who have relatively narrow chest walls.  This type of patient is extremely common in Colorado given how athletic and fit most women are.  As such, I tend to prefer the High Profile or Moderate Plus Profile implants over the wider Moderate Profile implants.

In the end, this is really a decision that you need to make with your Plastic Surgeon. 

I hope that helps!

The implants are mentor type implants, and the moderate plus will have slightly more projection and slightly smaller diameter for a given size. Your surgeon will measure your chest diameter and take your goals into consideration when chosing the implant, however I agree that the difference between the two should be minimal.

One of the great myths out there is that the muscle will flatten theimplants and make it appear smaller when underneath the muscle.  This is just a myth.  When done correctly, the muscle should stretch just like the skin, and therefore be just as loose and soft.  If it wasn't, the implant would be tight and feel firmer.  If it is nice and soft, and sits in the appropriate space, then in should be the exact same size as over the muscle.  With regards to the type of implant, I use the moderate plus implant 80% of the time.  I think it does a better job of giving women both the size and the projection.  For the same width, the moderate give you 1.5cm less projection. It doesn't sound like a lot, but if you had a 500cc moderate on one side and a 500cc moderate plus on the other, ytou would be able to tell.  In your case, i wouldgo with the 500cc moderate plus implant.  I hope this helps.