Moderate Profile Overfilled to Get Moderate Plus Effect?

asked 1 year ago by kcjojo in Arlington, VA
Latest answer by Robert M. Grenley, MD
Question viewed 550 times
Tags: saline implants, 300-349cc, moderate profile, overfilled, proportion

Hi, I am 5"2 - 95lbs. I've decided to get saline and my PS recommended moderate profile overfilled to get moderate plus effect to achieve a more natural looks and minimize rippling. 275cc overfilled to 300-325cc range realistically probably to 300-310 since I don't want the implant to be too big for my thin frame. I don't have broad chest so I'm a bit concerned w/ using a low profile implants since I don't want a unibreast. Do you think my PS recommendation is good? Thanks!

9 answers to Moderate Profile Overfilled to Get Moderate Plus Effect?

Breast Implant Sizing

Hello Kcjojo, I am not in agreement with any of the decisions you and your doctor made. Because of your extremely small chest and breast size, you are not really an ideal candidate for saline filled implants. Silicone gel implants will give you the best results possible. Beyond that, I would never overfill a saline implant in someone like you; it will make rippling worse. True overfilling is when more saline is added to the implant beyond the recommended range... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

"overfilling" saline implants

In my opinion, and that of probably most other plastic surgeons, saline implants should be properly "overfilled" to minimize wrinkling of the implant shell, and it probably also somewhat lowers the risk of rupture over time. I one of my patients chose a 300cc saline implant, I would use a 275cc implant properly "overfilled" to 300cc. If too much overfilling is done, then the implant starts to feel firmer, and may show some 'scalloping" wrinkles around... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

Bad choices in breast implants

I wasn't there when you met with your doctor but in my opinion, you are too thin with too little breast tissue to be an even half way decent saline implant candidate. Overfilled or not, moderate or moderate plus. What would serve you much better would be a gel implant under the muscle and if you are as narrow as you look, you might even find that a HP gel will work best based on your width (same look as mod plus saline). I see many patients like you and they are very... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Overfilling Implant Beyond Recommended Volume Voids Warranty

Saine implants should always be somewhat overfilled to lessen the chance of rippling, although I agree with Dr. Shafer that you will obtain your best and most natural result with submuscular silicone implants. I am unsure of the manufacturer of the implants which you chose, but I think overfilling a 275cc implant by 50cc may well exceed the recommendation and may void the warranty.

John Whitt, MD
Louisville Plastic Surgeon

Natural appearing breast implants

In my opinion, for the most natural result, I would suggest a silicone gel implant placed under the muscle. Good Luck

David Shafer, MD
New York Plastic Surgeon

Overfilled saline implants may not be best for you!

I absolutely agree that saline implants (when used) require the proper degree of "over" filling in order to minimize visible and palpable rippling, particularly when the patient is thin (with little fat layer to help cover and conceal the saline implant edges or ripples) and/or with little breast tissues of her own (same reason). You have both--the "double whammy" of potentially visible implants. But "extra" over-filling of saline implants is the wrong solution... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

The "Right" Size is the "Best" Choice

Of course, there are matters about which experts disagree: the issue of over-filling a saline implant is one of those matters. While proponents of over-filling often do so to minimize rippling, the "extra" volume added to the implant makes it rounder and less soft. Given your narrow chest, you probably would benefit from a medium or high profile implant so that the width of the implant is slightly less wide than the width of your natural breast. For a slender woman with... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

Mod profile or not

I would disagree due to your chest being narrow and your breasts closer together. The choice of implant should be chosen with respect to the base width of your breasts. Over-filling will yield a firmer feeling breast with thinner coverage. I would recommend either a smaller mod profile implant or high profile to get the volume you're after. I hope this helps Dr. Edwards

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

I would have suggested silicone gel implants.

I agree with your surgeon about type size and shape. I would have suggested silicone gel implants to avoid rippling. You have minimal breast tissue and palpable implants will be an issue if you are concerned about how they will feel.