Will High Profile Implants Give Me Natural-looking Breasts Or More Fake Looking? (photo)

I am 5'11.5" 157lbs. I have an athletic build and my bf is 17%. I have no idea what my ribcage is, but my current bra size is a 36C. I also have no idea what my breast measurement is either. I currently have implants: 215cc saline, moderate profile, textured, under muscle. I'm getting them replaced with 350-400cc smooth silicone under muscle. My PS is insistent on HP, I am not. I feel they are too unnatural looking and "torpedo" like. I'm scared I may not be happy with the outcome.Help/Opinions?

update 2/18/12

Pics so you wonderful PS's can see. L Breast deflated, R breast has two bumps due to implant contraction. This is why I'm getting them replaced with silicone. After several phone calls I've convinced my PS to order several smooth round Moderate profiles in different sizes no greater than 300cc. I'm a modest athletic woman who wants modest natural breasts. Thank you ALL for your wonderful answers and advice! :)

Doctor Answers (21)

High profile implants?

+3

High/moderate profile is a misnomer. It really means width. Narrower implants stand up higher at the same fill volume. Your PS will measure your chest to the millimeter and choose the right proportions for your desired result. Don't force him to do something wrong because you hate "torpedoes". He's the expert. Go with his advice.

Thanks for the question,

 

Dr. Foster


Sacramento Plastic Surgeon
3.5 out of 5 stars 13 reviews

"natural" looking breasts

+2

With the start of Baywatch, our society started to believe that a more high profile look was more natural.  Really natural breasts do not have lots of roundness in the top half of the breast.  But the public is asking more and more for the high profile look.  In my opinion, the most "natural" looking breast is one that has a slope up top in the upper pole of the breast, and this is more the look of the lowest profile implants (but they are named the moderate profile style).  A push up bra look is more the moderate plus style.  And more and more of the public are asking for these implants because they feel that some roundness in the upper pole is what they want.  The "Pam Anderson" look is the high profile look.   This is just my opinion after practicing for 25 years and having breast implants a major part of my practice.  It sounds to me that you are looking for the lowest profile look which is the "moderate profile" style.  Good luck.

Dan Mills, MD
Orange County Plastic Surgeon
4.5 out of 5 stars 17 reviews

Switching Implants Textured To Smooth, Saline To Silicone - What Profile Would Look More Natural?

+1

At almost 6' tall with a wide chest (36" bandwidth), choosing a 300 cc implant will truly give you a minimal increase in volume over the 215's that you already had (100 cc = 1/2 cup, therefore an 85 cc difference would be less than 1/2 cup).  Also, you have very low body fat, therefore when you ask for a natural breast appearance, my concern is that you might get traction rippling from a moderate plus or a moderate implant.  Both of these shapes are underfilled with relationship to the high profile.  At the same time, the high profile has a very narrow base diameter at 300 ccs. 

I personally think if you stuck with the 350-400 cc volume with high profile, you have less chance of traction rippling, and contrary to comments by other experts, I believe partially subpectoral silicone implants tear drop nicely, and therefore high profile implants shouldn't give you the torpedo look.  It appears that the distance from the top of your nipple to the inframammary fold is at least 7-1/2 cm and possibly longer, and since the base diameter of the high profile implant is smaller than the moderate or moderate plus, I believe you will have slightly more projection at the nipple, nice rounding at the bottom, less chance of traction rippling, and very little upper pole phony fullness.

Since I know I am answering this question 7 months after asked, I assume you have already had the surgery.  I would be very interested if you are happy with the results, if you got any rippling, and if the capsular contractures reoccurred. 

S. Larry Schlesinger, MD, FACS
Honolulu Plastic Surgeon
5.0 out of 5 stars 215 reviews

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High profile look

+1

Hello,

 

In general I agree with you: high profile implants tend to look more fake. Be careful on the silicone gel. These implants tend to harden more readily than the saline-filled models. Choosing silicone gel is choosing the need for more surveillance over time. Make sure you are OK with that.

 

Best Regards,

 

John Di Saia MD

 

 

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 23 reviews

Low profile implants in a subfascial plane for the best natural tear-drop shaped appearance

+1

I would strongly recommend low profile implants in your case.  My preference it to place low profile cohesive gel implants subfascially.  In subfascial augmentation particularly the 'cold-subfascial augmentation' that I perform a low profile implant can be supported and shaped into a natural 'tear-drop' shape that has excellent projection at the nipple and slopes slowly back to the chest wall.  Submuscular placement usually leads to widely separated implants that have more of a shelf like appearance at the top.  High profile implants only amplify this effect.  I hope this helps!

 

All the best,

 

Rian A. Maercks M.D.

Rian A. Maercks, MD
Miami Plastic Surgeon
5.0 out of 5 stars 32 reviews

Muscle compression limits projection

+1

In my experience there is very little difference between high profile and normal profile implants when placed submusclarly.  The compression by the muscles are more likely to determine the final appearance then a manufactured shape.

Best of Luck,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
5.0 out of 5 stars 127 reviews

Will High Profile Implants Give Me Natural-looking Breasts Or More Fake Looking?

+1

I find the HP implants to be a bit more "fakey" looking in most women...and from your pics I see no need to go to HP. But remember, as how you have 215cc saline now (which I think equals about a 245cc silicone), going to 300cc silicone would be a very mild increase in size, probably only a half cup size..If that is your goal, a mod profile 300cc should get you close...best guess!

John J. Corey, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 19 reviews

High profile

+1

The higher the profile, the more the rounded non natural look.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

High Profile Implants

+1

The determining factor is the rib cage size in relation to implant size selected. I use high profile but typically for patients who want large implants and they have a smaller frame.  Personally, I don't think they look very natural and have heard patients say they feel like they are "torpedo" like in appearance, just as you mentioned before. Seeing as you're quite tall, and you're only talking going to 400cc, I would use Moderate Plus implants if you were my patient.

Jeffrey Hartog, MD
Orlando Plastic Surgeon
4.5 out of 5 stars 42 reviews

Higher profile = rounder look

+1

A higher profile implant is more fake looking than a lower profile implant.  However the differences between various implants can be minimal.  You should talk to your plastic surgeon and have him explain why he thinks his choice of an implant is right.  Compare the implant width and projection between your choice and his, and dont focus so much on the words 'high' and ' moderate' profile.

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 164 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.