Moderate Vs High Profile Breast Implants to Retain Cup Size?

I am having Breast Implant revision next week due to capsular contracture from the first surgery 11 yrs ago. I have 430cc Saline breast implants under muscle at present and will go back with Silicone breast implants. I am trying to decide between 421cc moderate profile or 425cc high profile. I am currently a 36C and want to keep my same cup size just want a more natural appearance.

Doctor Answers 32

High vs. moderate profile breast implants? How to tell which you need

This comes up all the time and I often have patients coming in saying, "I need a high profile implant for projection", or ""I need a lower profile implant because I want narrow cleavage". Well, here's the deal. Measure your breast width, that is, where your breast should begin, next to your sternum, to where it ends, on the side. Measure on your chest, so you get the pure width of the base here. Narrow women you should get a 11 here, then 12-13 for medium, then 13.5 and up for a wider chest. Your implant should be about that wide or a little bit narrower. Implants come in a grid of widths and sizes, so if you pick your size, then you pick your width, that gives you the right implant, for you! IF you do an implant too narrow you will get the "tennis ball" effect of having a little but tall implant in your boob. Yuck. If you do too wide, then you can see or feel the implant shell under your arm ie rippling - double yuck. So be smart, and don't get hung up on the labels.

Beverly Hills Plastic Surgeon
4.5 out of 5 stars 11 reviews

Choice of implants

You are comparing a high profile and a medium profile implant. While the two implants have similar overall volumes, with about the same number of cc's, they will have different shapes.

The high profile one will be somewhat narrower from side to side, but rounder. It will give you more fullness and roundness in the upper part of the breast, but possibly less cleavage/ more of a gap. It will tend to look more like "the push up bra" look than the medium profile

The medium profile implant will tend to be a little wider, but give less fullness on the top. In our practice, this shape is a little more popular, but it's really a matter of patient preference. Both can look nice, when they are proportional to your frame, and placed by a skilled surgeon.

Do you know what shape (profile) your current implant is? If you are trying to maintain that exact look, use that information as your guideline.

All the best,

Saline and Silicone breast imlant sizes- High vs moderate propfile breast implants

usually saline impalnts are perkier than silicone implants. moderate profile breast impalnts give better cleavage and fullness of the upper pole than high profile implants. Also, breasts generally look flatter and smaller after a capsulectomy procedure. You should consider these points in deciding on the size of new breast implants.

S. Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 35 reviews

How to Determine Implant Profile and Size

I have found it most helpful for patients to bring in photos from my or other plastic surgeons’ websites to illustrate what they would like to look like. This gives me detailed standardized views and information both qualitative (shape, perkiness) and qualitative (size) and allows me to discuss with my patients how I can best achieve their objectives as well as realistic expectations. For example, though I always tell my patients that I cannot make them exactly the same as a photo because everyone has different anatomical constraints. However, these ”ideal” breast photos are brought to the operating room for reference during surgery so that I have the advantage of “seeing through my patient’s eyes” to best achieve their wishes. Even if the photo does not match their height or weight, I and most plastic surgeons are very good at translating the proportionality of the photo to your features.
I personally use sterile implant “sizers” (temporary implants) placed in the created implant pocket during surgery to know in advance exactly which implant would work best for you in both a sitting and lying down position. This also allows me the opportunity to modify the pocket to meet some of the more subtle shape features desired and allows me to decide if a high profile vs Moderate profile implant is best suited for my patients

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 76 reviews

implant exchange

It is difficult to determine whether or not a high-profile implant suit your needs.    Some of this is based on whether or not you had a high profile implant to begin with and how much that implant was filled at the time of surgery. Over the years with implants or without implants breasts tend to lose volume, and thus removing replacement of breast implants generally requires a slightly bigger implant than the previous one to account for some of the tissue loss and restore the volume. High-profile implants tend to give more upper pole fullness and projection while moderate plus or moderate implants tend to fill out the width of the breast better. Implant selection has become more and more confusing with a larger variety of implants available to the market today than 10 years ago. I would seek a board-certified plastic surgeon who's familiar with breast revision surgery to help you make your decision.

Moderate vs High Profile Breast Implants

Both companies that make breast implants, Allergan and Mentor, have three styles of implants, low, moderate and high profile. High profile implants have a relatively small diameter with a greater projection to diameter ratio than the other implants. Low profile implants have a much lower projection to diameter ratio. Moderate are in between.

For a majority of patients the moderate profile implants look the most natural. High profile implants can work well in women with a narrow breast width. Low profile are good to add upper pole fullness in an augmentation mastopexy.

It depends on your proportions.

Dear Doody,

The volume and profile is just part of the equation. Your surgeon needs to pick an implant that is appropriate for your proportions. The diameter of your breast, distance from nipple to infra mammary fold, and skin envelop characteristics are all important factors in deciding what implant would give you a natural appearance. There is only a 4cc difference in volume between your two implant choices but there is almost 1.5 cm difference in diameter and a 1cm difference in projection between the 421 and the 425cc implants. This could mean the difference between a natural and a "done" look to your breasts.

Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon
4.0 out of 5 stars 7 reviews

Profiles of different implants

You should speak with your PS and together choose the right implant to meet your needs. Higher profile implants give more projection and less cleavage. Moderate profile implants allow for more cleavage and less projection. Don't place too much emphasis on profile but rather on the appropriate size of the implant.

High and Moderate Profile Implants, what's the difference?

Surgeon's have many different ways to explain and utilize the diverse implants available today. One of the characteristics that can change your appearance, in a revision or in a primary case, is the profile of the implant.
As implants get larger, they can get wider, taller or both.
I explain it like this:
Low Profile implants get bigger by getting wider
High Profile implants get bigger by getting taller
Moderate Profile implants get bigger by doing a little bit of both.

It's my opinion that your implant profile should be determined by the volume of the implant that you want, the size/width of your chest, and the look you are going for.  Once the volume is decided, that volume can be matched to the width of your chest. If a high profile implant is used at a particular volume in a wide chested patient, the results can be suboptimal. Similarly, if a low profile implant of a particular volume is used in a narrow chested woman, the breast can look far more fake that a high profile implant.  It's not about fullness, or fakeness, it's about matching an implant to you.  Many women come in to see me asking for high profile implants but, after a conversation and the use of the VECTRA 3-D imaging system, choose a moderate plus profile instead. Similarly, some women desire a natural look and are afraid of higher profile implant until they see the desired volume in their own body. 

All of this is to say: It may not be as simple as it seems, and the guidance of an experienced surgeon who will listen to what you ask for and explain your options is priceless.

Dr. Pyle

Jeremy Pyle, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 42 reviews

Natural appearance

The moderate plus silicone gel implant will certainly give you a more natural appearance, however more rippling can occur with this implant than a high profile cohesive silicone prosthesis.

Stuart A. Linder, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 30 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.