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Moderate Plus Vs High Profile Silicone Gel Implants?

I'm in the middle of figuring out what implants I should get. I've dedided on either 275 or 300ccs of Silicone gel implants. I just can't figure out if I should go with the moderate plus or high profile.

I've looked at ALOT of before and after photos. Does it REALLY that much of a difference between the two?

Asked 32 months ago by kelsea in Canada

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breasts silicone implant breast size

I disagree with the other physicians

I disagree with the other physicians. A high profile silicone implant will look like a moderate plus profile saline implant and therefore is the best implant for volume enhancement. The silicone filler cancels out the firm water balloon look that the high profile saline implant provides.

John Milam Shamoun, MD FACS

Newport Beach Plastic Surgeon

ASAPS ASPS

Breast implant sizing

Communication with your surgeon is critical in achieving the results you wish. I find that this is best done with the use of pictures as opposed to trying to predetermine specific implant size or profile. 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... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Depends on what your breast augmentation goals are

The difference between the moderate plus and the high profile is how far the implant will project from your chest wall. The high profile has a more narrow width, but contains the same volume as a wider implant. Thus, instead of going wider, it goes higher. When this is in your breast, it means that your breast will project forward more. In general, high profile implants also create a more round look. This is because it is more narrow and more tall, I find this creates more fullness over... more

John Diaz, MD

Beverly Hills Plastic Surgeon

There is a difference

There is a difference in the projection and look of the moderate plus and the high profile implants but how much difference depends alot on your body. If your chest wall is very narrow, you might need the high profile to get the volume and look you want. if you want to stay a bit more conservative but still have some excess upper pole fullness, the moderate plus might be best. Ask these questions of your doctor since they know your body and your mesurements best.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Moderate plus versus high profile implants

This is a difficult question to answer without an examination. High profile implants tend to have a smaller width, and therefore the volume comes out more in front, providing more projection if you look at the breast from the side. Moderate plus implants are a little wider, so there is less volume coming out. The difference in projection between the two is relatively small for the same size implant, perhaps 0.5 cm. However, if you have a very small frame, a high projection implant may... more

Nina S. Naidu, MD

New York Plastic Surgeon

ASPS

Either will look good, but...

Chelsea, When faced with this situation I often ask my patients a simple question, "do you prefer cleavage or projection more?" If the answer is cleavage, then the moderate plus is the better choice and vice versa. Good luck!

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Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Moderate profile plus silicone gel implants for good projection, natural look

There is a significant difference between moderate profile plus and high profile silicone gel breast implants. I almost always use the moderate profile plus breast implants because they provide good projection of the nipple but have a wider base which provides a very natural looking breast profile at the chest wall. I use the high profile most commonly for women who are very focused on cleavage and thos who have had previous breast implants that have sagged or bottomed out. See before and... more

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Talk to your surgeon!

This is really based on your breast/chest measurements. I usually use moderate plus profile, but have used high profile implants with very good success. It is really based on several discussions with the patient after measuring them. I typically will have 2-3 consultations before I perform the surgery. It is only through these discussions that the surgeon and patient are able to pick the right implant to address specific concerns/issues. No one can really tell you whether a moderate plus or... more

Sirish Maddali, MD

Portland Plastic Surgeon

Talk to your doctor

Without examining you, nobody else can tell you what is best for you. I believe that your doctor should help you make the choice based on you breast base diameter measurement.

Dean Fardo, MD

Atlanta Plastic Surgeon

ASAPS ASPS

These are the two implants that I use, but you shouldn't make the decision!

Hi! You have to start out by having confidence in your surgeon. He is supposed to be the expert. Otherwise things won't go well. In NYC, we use either moderate plus profile or high profile breast implants, depending on the measurements of your chest. During surgery, we use a disposable implant SIZER to see which implant looks best before opening the permanent implants.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Moderate is usually best

High profile implants have a much smaller diameter than moderate profile implants for the same volume. Therefore, they have much greater projection. It is a pretty rare case when I use the high profile implants. I usually use these in shorter women, eg 5 ft and less with slight frames, eg 100lbs or less. So unless you fall into this category the moderate profile work the best. In primary augmentations I use the moderate profile almost 100% of the time. In addition the low profile have... more

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Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Implant differences

Yes, they can make a difference. Usually high profiles are used for patients who want alot of projection but have a vary narrow base diameter of their breast. I will usually go with moderate plus or high profiles in the majority of patients. I examine them carefully, and spend alot of time with the patient to come up with the right implant for them.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

In most cases, the moderate profile plus give more natural results

It all really depends on what you are hoping to achieve. In most cases, the moderate profile plus give breast implants give a more natural result, while the high profile implants give more projections. Your doctor should have some examples of the different implants in the office for you to see. Good luck with your procedure.

David Shafer, MD

New York Plastic Surgeon

ASPS

It depends upon your measurements

There is a difference in the width of the high profile or moderate plus implants so the same volume implant will be a little different in width. It is best to pick an implant that compliments your natural breast width. On average the mod + implants will give less projection and often times a little more of a natural post-op result. Talk with your plastic surgeon about the differences and what style would best suit your needs. Best of luck. Dr Edwards

Michael C. Edwards, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Photos don't help

While it is conventional wisdom to ask for photos, I believe each surgery must be individualized. A certain implant in one patient will look entirely different in another. First, look at your natural breast and it's width. Start with a lower profile style and see what fits naturally in your breast. Then you can vary the width and the height to obtain a closest fit to the look you want. For the same width, a moderate profile and a high profile will have different volumes. You might have to... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Really depends on your body and breast shape

I like both of these styles and use each of them frequently depending on the patient's body shape and breast shape. We always have patient's help in this process as well, by trying on the implants and by expalining the differences, given their particular situation.

W. Tracy Hankins, MD

Las Vegas Plastic Surgeon

You need some measurements

The base diameter of your breasts and the volume you desire have a lot to do with the profile of the implants that are used. As you may know, implants naturally get wider with increasing size and if that size exceeds your breast base diameter by too much, you can have an unnatural result and even stretch the breast tissue too much. I like to "size' my patients before surgery and select the implant that meets their goals and respects their breast and body measurements. Photos are hard... more

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