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Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc?

asked 1 year ago by Bolton in Bolton, ON
Latest answer by Tom J. Pousti, MD
Question viewed 3,038 times
Tags: age 35-44, 130-149 lbs, 5 ft 4 in to 5 ft 7 in, silicone implant, 400-449cc, 450-499cc, B cup, comparison, high profile, moderate profile

My only concern is size&profile. I am 36years old, breastfed 2 kids, lost volume on my breasts. Have some sagging but my nipple is still over crease. I weigh 130pounds and am very fit and toned. I am 5"4" and my breast size is a 34 Bcup. When I was breast-feeding I was a 34 Dcup. Before my kids I was a 34C cup. I want to be a D cup.

15 answers to Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc?

Not possible to answer your question responsibly

Hi there- While I would love to be able to give you the confidence you would gain from having surgeons in this community recommend an implant for you, it is VERY important to your future happiness that you understand that without a formal consultation and examination, it is simply not responsible for me to try. The appropriate choice of an implant for any individual patient depends on not only her goals and her history (children, breast feeding, etc.), but also (and most importantly)... more

Armando Soto, MD
Orlando Plastic Surgeon

Size, profile, and implant volume

In order to increase two cup sizes, you will need a high profile implant and a silicone gel-filled implant is probably a good choice because of the lack of muscle coverage over the lateral side and underside of a breast that is borderline sagging. The implant will not lift the breast but it will look lifted because it is filled out, particularly the lower pole of the breast. However, with a relatively sagging and flat breast it will become very projected with a high profile implant and... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Re: Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc?

Since you have a small amount of glandular ptosis I would utilize a dual plane approach to the augmentation, which would fill the inferior pole nicely and give you muscle coverage of the upper two thirds of the prosthesis. It would also rotate the nipple areola slightly upwards which would give you a small amount of lift. Also if your desire is to be a D bra, you would need the 450cc prosthesis and I would again use a moderate plus design which would appear appropriate from what I can see of... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Breast Implant Sizing

Hi Ms. Bolton- Great question...and one I see quite often here on RealSelf. Unfortunately, as I have said before, sizing of breast implants are an individualized decision. A decision that can only be reached by a team of EXPERTS : You and your Board Certified Surgeon. You, because you know your body, your wants and desires (cup size, etc) and your surgeon, because he or she will get to know you, your wants and desires as well as your anatomy and they will know the implants styles and tech more

John Philip Connors III, MD
Atlanta Plastic Surgeon

Choosing between large Silicone Gel Breast Implants

Regarding: "High or Moderate Profile? 400cc or 450cc? My only concern is size&profile. I am 36years old, breastfed 2 kids, lost volume on my breasts. Have some sagging but my nipple is still over crease. I weigh 130pounds and am very fit and toned. I am 5"4" and my breast size is a 34 Bcup. When I was breast-feeding I was a 34 Dcup. Before my kids I was a 34C cup. I want to be a D cup." Your question or a version of it is very common and very... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

How to pick shape and size of breast implants.

1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like. 4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big. 5) I... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Match the implant shape to your chest

with the advent of different profiles of implants patients and their doctors can better match the implant to the patient's anatomy and desires. There are no hard and fast rules. In general the larger the implant the greater the diameter. The ultimate diameter should fit the patients chest wall and existing breast mound. This decision is best made between you and your surgeon.

Randy Proffitt, MD
Mobile Plastic Surgeon

Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc

Thanks for the posted photo. My choices are HP 450 cc implant. This is based upon the limited explanation and oner posted photo not an in person examination with measurements. Best of luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Implant Choice Best With Thoughtful Consultation

Based on your information and photo, it sounds like your question and thoughts are very relevant and "in the right ballpark." By way of generalization, the choice will be based upon: volume: the cup size you'd like to be. anatomy: what implant dimension (width) will fit your breast and chest shape: the amount of fullness you want in the upper chest the higher the profile, the rounder and fuller the breast shape will be None... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Choosing an implant

The choice of an implant requires a thorough discussion and exam to properly select the right implants for you. Most of my patients receive either a moderate plus or high profile implant.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implant sizing

The more breast surgery I do the more I realize that there is no correlation between the size of implant 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 (saiine/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Moderate plus profile versus high profile implants

It is difficult to give a definitive answer from the information you have provided. I personally prefer the look of the Moderate Plus profile implants placed submuscular. They have a larger base diameter than the high profile and give fullness throughout the entire breast. I would recommend consulting with a Board Certified plastic surgeon in order to chose a size. You should be able to try on the various sizes to ensure you are happy with the look. Kindest regards... more

Neil J. Zemmel, MD
Richmond Plastic Surgeon

Need to have a plastic surgeon help you to decide

Without seeing you in person, it would be impossible from just looking at your pictures whether I would recommend submuscular or subglandular, high profile or low profile, and whether you should go with 400 or 450 cc. They might all work fine, or one method might be preferred over another. I recommend that you make an appointment with a board certified plastic surgeon in your neighborhood and make the decisions based on his/her recommendations. see video

James Tang, MD
Houston Plastic Surgeon

Deciding between two implants

This is not the proper place for making that decision but the fact that you are wavering between the two would suggest to me that you would be happier with the high profile 450 cc gel implant.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Profile of Breast Implants

Without examining your, it is hard to give you specifics. However, in most cases, I prefer the moderate profile implants under the muscle for the most natural results. However, in consultation with your board-certified plastic surgeon, you should be able to decide on an implant that is right for you. Good luck.