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Moderate Versus Larger Diameter High Profile?

PS suggested 339cc or 371cc (12.4cm or12.9cm >than my 12 cm base) moderate silicone implants above muscle Nipple is 16.5” from the top and 5 cm to center. I am very small 32A ( I do have lose skin/fat in breast) 5’1”, 105lbs, size 0 waist. I like a rounder, fuller look w/good cleavage. I was told the 339 would make me a B cup but now I want to be a full C. With High Profile, couldn’t I go to a 400, 425cc or 450cc (11.9/12/12.4cm) to accomplish what I want? Trade offs versus 339/371 moderate?

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20 Doctor Answers | Asked by HW89532 in San Francisco, CA

Doctor Answers (20)
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Moderate Versus Larger Diameter High Profile

If you really think being that large is your preference, the HP implant you note are within reason as far as breast width goes, but this is not the only criteria used for choosing implants. It is quite unlikely that you can go from a small A to a full C and have a natural looking breast. Without seeing you in person or having some photos to look at I can only guess, but that guess is that 450 cc implants will be too large. Thanks, and best wishes. Go over your options carefully... more

High Profile Larger Volume Implants

If a patient wants a larger volume implant, high profile implants are frequently needed to minimize base width of the implant so as to fit on the chest wall.

Confused about size?

Hello and thank you for your question. There are a lot of factors other than pure measurements that go into choosing an implant, such as shape of the rib cage, but in very general terms, a moderate plus profile implant will probably take you from an A to a C. However, only a good physical exam can assess this. Best Wishes, Pablo Prichard, MD

Shape and size.

Thanks for sharing. The options discussed are all good, but the bigger volumes you mentioned might make you wear a D cup, even though the diameter is fine for your base. I have patients come back to the office several times because sizing is so important. Ask about a breast volume sizing system, made by Mentor, which helps a great deal to choose your implants. Good luck. Dr. Aldo.

Aldo Guerra, MD

56 reviews

Scottsdale Plastic Surgeon

Moderate vs. High Profile Implants

I prefer implants which are within 1 cm of the base width but not wider than your base width. In this way, you can prevent a large gap between your breasts. To see which bra size the implant will be, place the implant in bras to see which size it fits on you. The high profile implant will give more projection (push your nipple farther from your chest).You may be surprised as to which bra size gets filled with the implants you are considering.

Implants

The high profile implants have a fuller and more artificial look than the moderate plus profile or the moderate profile implants

Size of implants? High or medium profile?

Don't go too big. Going too big is the single most common cause of breast implant problems. Also, going with a high profile to get more volume for the diameter is not likely a good idea. The high profile implants can thin the breast tissue. You need to be thinking 20 years down the road when you have your breasts re-done. Don't risk long term damage to your breast tissue for a short term boobalicious look. This had been on my mind lately because I have had a... more

Implant size

You can go a bit larger if you want. Personally, I think that for someone your size, 450 may be pushing it a bit. It will definitely be in the D range.

Advising on breast implant size online not prudent

Selecting the most appropriate breast implant size solely employing measurements and mathematics will rarely give you the best results. Instead, this information can be very helpful in pre-selecting a range of sizes and configurations. It is the artistic eye, judgement and experience of the plastic surgeon that can better give you the desired result. Providing an explicit and correct answer regarding implant size is inappropriate and imprudent. A thorough consultation and examination is... more

What implant

You are a small woman with high and "widish" breasts for your size. With all of the dimensions one doesn't know how much breast tissue there is. In my experience, there is a lot of difference in an "A" cup. You will not be a B cup with these implants but at least a C. I am concerned that the implants may be, in fact, too wide for your breasts. I would look for a surgeon that has the Vectra 3D imager that will give you an idea of how these implants will look. I think you are considering some... more

Breast implant sizing differences with moderate and high profile implants

In general terms, a higher profile implant will get more volume on a given breast implant diameter. Without the benefit of some photos, its impossible to state with any precision what result you could expect with a HP implant. Based on the bio-dimensions that you've listed - the larger high profile implants will make you look 'fake' - but that might be the look that you are after. Good luck !

The right implant for you

Thanks for your question - In our San Francisco Bay area practice we perform many breast augmentations and picking the right size implant is one of the most critical parts of the surgery. Numbers and measurements are helpful and serve as a basis for choosing the right implant but getting the right projection, shape and fullness requires more than what just numbers can provide. In our practice, in addition to the measurements, we ask patients to bring... more

Implant size selection to achieve your goals

I consider two factors when selecting implants for my patients: 1.Dimensional planning 2.Gel Implant Sizing system Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some... more

High Profile Implants Allows More Projection with Narrow Base in Small Frames

Thank you for your question. The short answer to your question is yes. Given your height, weight and desire for more cleavage and upper pole fullness, a high profile implant would serve your needs well. As long as you do not stretch the skin envelope too much using a large diameter implant you should do well. If you also have skin laxity, the high profile implant should help in restoring breast volume. Your analysis is similar to the process that Plastic... more

High Profile implant with small chest size

It sounds like you are a candidate for a high profile implant based on your stated desires. With such a small frame you may want to shy away from an overly large implant. This, of course, is a personal choice and best made in consultation with a plastic surgeon who understands your desires.

Implant choice

Choosing the right implant for you requires a physical exam and an appreciation for your goals. This is best done in person.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

What is the Best Breast Implant Size for Me?

Dear HW89532, This is a very common question. Choosing the right type, size, shape, texture, and placement of implant depends on a number of factors including your body dimensions, your tissue characteristics, your breast shape, and your desired results. A detailed physical examination and discussion your desired results is necessary to give you any recommendations. I would suggest that you consult with a few experienced Board Certified Plastic Surgeons. If you are... more

BREAST IMPLANT SIZE

This is a common question. What is the best size and profile for me. Without measurements and a good physical exam you can only get opinions not based on all the info. From your description you are a small framed women with a narrow breast width. With this limited information I would probably select a high profile implant. The size would depend on your measurements and your tissue elasticity.

Moderate Versus Larger Diameter High Profile?

You did a good job including lots of relevant numbers. However it is nearly impossible to give you an answer without an exam to determine the amount of your breast tissue, skin elasticity, rib shape, etc. The decision is based on so much more than just "base diameter". But it sounds like you probably don't have a lot of natural breast tissue. Get at least one more opinion. I think you will find the vast majority of us would advise you to use implants behind the muscle.

Best Breast Implants For Me?

Thank you for the question. Your desire to achieve online advice is understandable, but you should be aware that it is really not a good idea to place a lot of weight on this type of advice. Without direct physical examination and a full communication online consultants can only speculate. Advice received may be confusing/conflicting. Also, be careful about breast implant positioning; in my opinion most patients (especially with body types that you describe)... more