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

asked 3 months ago by jrd86 in Chico, CA
Latest answer by John P. Di Saia, MD
Question viewed 721 times
Tags: high profile, natural appearance, opinion, saline to silicone

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! :)

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

"natural" looking breasts

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... more

Dan Mills, MD
Orange County Plastic Surgeon

High profile implants?

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

Lawrence Foster, MD
Sacramento Plastic Surgeon

Breast width is the most important in determining implant profile.

The most important factor in determining the profile of your implant is your breast width. Your implant should be 1 cm less wide than your breast width. High profile implants don't always have a fake look, specially when following the breast width recommendation.

Frank Agullo, MD
El Paso Plastic Surgeon

High profile look

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 see video

John P. Di Saia, MD
Orange Plastic Surgeon

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

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... more

Rian Maercks, MD
Miami Plastic Surgeon

www.rianmaercksmd.com

Muscle compression limits projection

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
Houston Plastic Surgeon

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

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

High profile

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

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

High Profile Implants

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. more

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Higher profile = rounder look

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

High Profile Implants

Most plastic surgeons feel the high profile are less natural looking. Some patients want them and that is fine but otherwise we reserve them for narrow chested patients who want a large volume and can't get it in the wider based medium or medium+ implants. Your current shape is excellent and I would not think you will like HP if you want to keep your shape but go bigger. Your frame is adequate to use the medium profiles.

Ronald V. DeMars, MD
Portland Plastic Surgeon

High Profile Breast Implants

JRD, I also see no specific reason for you to get high profile implants with the parameters that you have set (modest,athletic,natural). Your breast base is wide enough to accommodate a 300cc moderate plus profile implant. Good luck! see video

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

Hp implants

Hi, if you go more than 450 I would use hp implants. It's all depends on the base width of your chest wall. I would most probably use hp in you also. They are still very natural looking and will not look like torpedoes.

Michael A. Fiorillo, MD
New York Plastic Surgeon

High Profile Breast Implants?

Thank you for the question and pictures. This is the type of question that will generate 50 different answers; you will probably end up more confused than when you started. In my opinion, high-profile breast implants tend to look more “fake" than moderate or moderate plus profile breast implants. Assuming you have chosen your plastic surgeon carefully and have seen lots of examples of his work that you enjoy looking at I would... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

High profile implants

High profile implants are great for narrow women that want larger volume implants. I am a big fan of these because most of my patients are very narrow, and this implants accommodate their chest well.

Steven Wallach, MD
Manhattan Plastic Surgeon

High Profile Implants - Natural Looking?

The "Profile" of the implant depends on the manufacturer. Mentor HP silicone implants are actually the same profile as their intermediate profile saline implant, so they are not really that high profile. Allergan HP silicone implants are a higher profile, but not extremely so as some saline implants are. So your surgeon's recommendation may be quite reasonable. Some of it depends on what your goals are. You are a big person and your current implants are quite modest... more

Braden Stridde, MD
Federal Way Plastic Surgeon

Type of Implant

First there is not enough information to begin to answer your question. Second you state that you " feel they ( high profile implants ) are too unnatural looking ... which are the implants you are having placed ,then you state you are" scared that you may not be happy " If you do not like the implants produced why would you have them placed. You presently have a small implant 215 ccs for a 5'11" woman and are going to a 350 -400 cc... more

Jay M. Pensler, MD
Chicago Plastic Surgeon

Why the high profile

We ask too what is with the high profile. The look is more projecting and round, and the implant is 'popular' though may not be the look you are after years from now. They are the right choice for some, but if your surgeon cannot explain the recommendation in a clear and understandable way, then there is a red flag which might indicate you need to go elsewhere. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Fake looks from HP breast implants

There are many degrees of projection from HP implants depending on the manufacturer. Without knowing what you look like and exactly what HP is being used, we can't say. But in general, the HP implants are intended to look full and fake.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Breast Implant Profile

Without seeing pictures or evaluating you in person, it is impossible to give you specific advice. In general, I prefer the moderate profile or moderate profile plus implants placed under the muscle. However, every patient needs to be approached as an individual and the surgery tailored to their specific anatomy to achieve the best and most natural looking results. Good Luck.