What Profile and Texture of Breast Implants to Chose?

My surgeon gave me the option for fixing the appearance of the bottoming out. He said we could either repair the side affected or drop the other side to match. I am 5'8" and 136lbs.

I am going to have memory gel Breast implants, placed under the muscle. I know that potential recurring bottoming out is a possibility my surgeon said I could wear a support bra with a under wire on the affected side and after proper healing of about 6-8 wks.

I am currently a 36C (425cc). He said I should go at least to a 550cc implant to fix the gap/enhance my profile. What type of profile/texture should I go with?

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C cup female 5 ft 8 in to 6 ft 0 in 400-449cc 550-599cc under muscle 130-149 lbs profile skin texture

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9 Doctor Answers | Asked by Ms. K28 in Alabama

Doctor Answers (9)
Community Comments (0)

Natural appearing breast shape with revision augmentation

Unfortunately the most commonly used type of implants (high profile) and the most common type of placement ( submuscular/dual plane) cannot deliver the natural 'tear drop' effect or cleavage that you desire. Leaving the origination of the pectoralis major medially intact in submuscular placement ensures that the implant cannot be medial enough to look natural, and a flat plateau is left centrally. There are also big problems associated with anatomic implants placed in... more

Breast implant sizing

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 patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree... more

Breast implants

Without an examination it is impossible to determine the best implant style, projection and size. There are many factors including chest wall diameter and skin quality are important.

Bottoming out

If you had bottoming out, then you have to fix the side that bottomed out. I would not lower the other side. Also, I prefer smooth implants.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

VIDEO (Click HERE) What Profile and Texture of Breast Implants to Chose?

As stated by Dr. Rand, I would avoid a larger implant which will have the tendency for recurrent bottoming out. I tend not to use textured implants due to their feel but they work well in thsi instance. see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Textured implants and implant profiles

Moderate plus versus High profile is determined by how much projection (WOW FACTOR) you want and how wide your breast is. Your surgeon should measure the the width of the base of the breast. The implant should be no wider than the breast. You do not want the implant going beyond the breast on the side or in the middle. The goal is to have as much breast tissue cover the implant as possible to help prevent the visible or palpable folds and wrinkles. You can get larger volume with a... more

Breast Bottoming

Most of the times it is more desirable to raise the dropped side. This is called a capsulorrhaphy. I would be cautious to place a larger implant as this repair is very tenuous and it is common for the problem to reoccur. So in some instances it is desirable to go smaller and placement of textured implants may help keep the implant in place but this may be anecdotal. Good luck.

Bottoming out

Genrally the fix to bottoming out is to re-fix the fold back to where it should be. This can technically be done in a number of ways. I would be concerned with placing a larger implant under these circumstances. Ultimately, in order to give an answer that would be appropriate, the plastic surgeon would need to see the patient and review the records.

Fixing bottomed out breast implants

Most patients will wish to raise up the bottomed out implant rather than to drop the other one, but you will see each direction taken. Going with bigger implants is sometimes done to change the look or the amount of cleavage but this adds weight and increases the risks of further implant malpositions. Work closely with a doctor who has an extensive experience with breast sugery as this is not best handled by a rookie.