Mod Plus OR High Profile for a Natural C Cup?

Hi, I'm 122 lbs and 5'6". I am having surgery soon and am having trouble deciding on the profile of implant. My BWD is 12 cm and I am currently a 34 A bra. My left breast is slightly larger than my right one. My surgeon has recommended saline implants : 380cc for the left and 420cc for the right breast in high profile OR... 350cc and 375cc slightly inflated in the moderate plus profile. Which implant profile would give me bigger slightly more natural breasts? I would like to end up as a full C.

Doctor Answers (5)

Moderate Plus or High Profile

+2

My opinion is that high profile implants almost never look "natural"  They usually end up looking like a round ball on the chest.  The volume implants you are considering are quite large will not look natural no matter what profile implants you choose.  I personally do not let my patients choose the profile.  That is a decision that is best left to the operating surgeon to make the breast diameter and the implant diameter match up as closely as possible.  Implant size is a personal preference and I am not making judgments but the term "natural" will not likely apply to your result. 


Seattle Plastic Surgeon
5.0 out of 5 stars 10 reviews

Profile of breast implant?

+1

The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size.  This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone  and low/moderate/high profile), bra  manufacturer variance  in cup sizes, the  degree  of filling of the cup  with breast tissue,  and the subjective differences in patients perceptions of cup size. 
Much of the final “look” achieved after breast augmentation surgery  depends on several factors:

1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.

2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.

3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.

4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  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 “C cup” or "fake looking" or "top heavy" 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.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.

I hope this helps.

 

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 723 reviews

Moderate plus breast implants look more natural than high profile

+1

You need to discuss this thoroughly with your surgeon before surgery and look at the various sample implants at the office. Generally speaking, moderate plus implants look more natural than high profile breast implants. My only concern with saline implants of that size on someone of your frame (thin) is the possibility of visible rippling or wrinkling that may occur. This may be a reason to discuss the possibility of silicone implants with your surgeon.

Best wishes,

Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 148 reviews

Mod Plus OR High Profile for a Natural C Cup?

+1

Very hard to expect each poster to be in agreement. I prefer HP just to add to the mix. Reason are less lateral displacement to your ht/wt. I do not agree with the HP giving a fake look. I'm aure more experts will weigh in on this topic. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 62 reviews

Breast implant sizing is important

+1

This type of question is impossible to answer without the benefit of a physical exam. My advise for 'natural' results after breast augmentation is to use an implant with a base diameter that fits well within the width of your breast. A 12 cm breast width can accomodate a 220-260 cc implant. Going much larger will look less 'natural' and more 'augmented'. 

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 36 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.