Moderate Vs High Profile Breast Implants to Retain Cup Size?

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,

The different implants will give you different looks.  A high profile implant will give you more upper pole fullness.  To be safe when doing a revision, it is often best to go up in volume, even if it is just a little bit.

Which is implant is “best” for each patient depends on several factors. Number one there is no one implant is perfect for every single patient. The great thing about technology in this day in age is that patients have a wide variety of implant choices. This allows the surgeon to find the implant that is going to help the patient reach her aesthetic goals.
It is very important to be open with your plastic surgeon as to your goals in terms of size and appearance after your surgery. The various implant profiles allows your surgeon to use an implant that is going to match the width of your breast.
As a plastic surgeon I want the implant to be the same width as the breast. Doing this allows me to give women the medial fullness that they desire without having the implant come out of the chest laterally. If the implant is too wide then it can make the patient appear to be heavier than she really is after her surgery.
In terms of cup size I would not let that determine what implant to select. You want the implant that is going to fit your body and give you the volume that you desire.
Sizing implants with your plastic surgeon will help you decide what volume is going to help you achieve the appearance you desire and then your surgeon can recommend an implant that will fit your body and achieve that look.

Generally after a capsulectomy, the breast pocket gets bigger and takes an implant slightly bigger in size. To get a natural look you can consider a moderate profile implant and may be a tear drop shaped implant. Higher profile implant is more likely to give more upper pole fullness.

Thank you for your question. High profile implants provide more projection while moderate plus profile implants are slightly less projecting and provide a wider appearance. You should consult with a board certified plastic surgeon to determine the best width of implant that would fit your body. The moderate plus implants are wider while the high profile is narrower.I hope this helps.

Dear Doody,Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid themYou should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery