High or Low Profile Implant to Acheive Best Result? (photo)

Thank you for the question and pictures.

You are correct in that if you visit with 5 plastic surgeons you may receive 7 different pieces of advice. This is the nature of plastic surgery when there may be several different options that will achieve acceptable results.  Not to add to your confusion, but I probably would have suggested moderate or moderate plus profile implants placed in the  sub muscular (dual plane) position.

I would suggest that you do the following:
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're looking for. Ask to see lots of examples of his/her work.

2. 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 "D” 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.

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.

I hope this helps.

Thank you for this challenging question.  First of all, congratulations on looking so good after breast feeding two children.  It appears that the distance form your inframammary fold to the top of your nipple is at least 7.5 cms which is my magic number.  With this number, you can put in almost any size implant without much of a problem.  There are so many questions that need to be answered.  Do you want a small D, a medium D, a large D, or a double D?  Would that D be measured at Macy's or Victoria's Secret?  You have excellent positioning of your pectoralis as it inserts into your sternum, therefore subpectoral implants of any D related size will give you plenty of cleavage, whether they are low, medium or high profile. 

I personally like the high profile implants.  I think they give a much better, tear drop like appearance.  A 340 cc, high profile, submuscular implant in my opinion would be closer to a C than a small D, but of course, I am basing that assumption on 2-dimensional pictures and not a physical exam.  I assume when you say natural, you mean soft in appearance and not phony. 

I would go with plastic surgeon A because I feel that any implants above the muscle will give you a phony look and an increased possibility of hard breasts, which will really give you a phony look. 

I agree that a D cup is not a natural cup size for your frame. That being said, I would probably use a smooth round moderate plus saline implant in the 350cc to 375cc size placed under the muscle. I prefer a one inch incision in the arm pit and use an endoscope for this procedure. Good luck and please see a board certified plastic surgeon.