Will my high profile implants look smaller under the muscle than with the "sizers" i tried on in the office? (photo)

Clearly there are many factors to consider in picking the perfect size for your breast implants. But from my perspective, your size choice is the most important. If you're too small for your wishes, or too large, you will be disappointed. Using sizers under clothing is imperfect but it gets you in the ball park of the implant for you. When placed under the muscle, the actual implant usually looks about 10% smallr than when placed in a bra. So, if you like 300, go to 330. Your choice of 350 would translate into about 385.  I agree that based on your dimentions, you probably need a high profile implant to accomodate that volume.I almost always use sizers in determining the patient's choice, but I then use a three dimentional sizing system to clarify what the actual implant would look like. It's a real plus and unambiguously describes what various implants look like.I no way am I disregarding the parameters which my colleagues refer to. Skin laxity, thickness, muscle details all matter, but from my perspective, if I haven't delivered the look you seek, I haven't done my job. Good luck!

Thank you for your questions and pictures.  To answer your question, yes implants under the muscle will project less than sizers put in a bra.  Having said that, sizers are an inaccurate method of determining final cup size.  Sizers in the bra don't account for the skin thickness, the elasticity of the skin, and whether the implants are placed above or below the muscle.I would recommend discussing moderate plus profile implants instead of high profile.  When you have a narrower chest wall, it is also harder to get a bigger (high profile) implant under the muscle.  You may want to get a second opinion also, that way you can get another point of view from someone who has examined you, not just on here.