Extra High Projection vs Ultra High Projection? What are the differences? Mentor Gummy/Silicone, inframammary incision (Photo)

Question

@ consult I tried the 500cc HP sizers felt small. Tried 550cc HP sizers felt like the diameter was too large giving me a heavier look and more pancake like chest. I feel like a extra high or UHP would be a better option for desired fullness and upper pole. Surgery date next week Need final size for order now, no chance to see sizers. Questions: What cc fits an extraHP for a 13.1 diameter? What cc fits an UHP for a 13.1 diameter? Which would give me results similar to my desired look?

Gerald Minniti, MD, FACS · Answer

Breast width is spoken about like it's the only measurement that is important; this is not the case at all, and is the reason why people looking for the biggest implant that will fit within their breast diameter end up with complications leading to reoperation. The distance between your nipple and inframammary fold on stretch is another very important measurement. It dictates where the nipple will sit on any given sized implant; the larger the implant, the longer the nipple to fold distance that is necessary to achieve proper nipple position. For an implant that is in the range of 500 cc, a nipple to fold distance on stretch should be at least 10 cm, which for many women is not the case. If not, then you will be in an unpredictable situation where you may or may not expand up to that desired distance, and in the mean time you will have downward pointing nipples (or apparently high riding implants) after surgery. Alternatively, the surgeon may choose (erroneously) to lower that fold to much, leading to another unpredictable situation, whereby the implant may settle too far, interposing itself between your chest wall and your native inframammary fold, leading to double bubble.

Caner Kacmaz, MD · Answer

Thank you for your questions. you have B-Lite in Turkey. you can have your procedure in Turkey we have B-Lite implants.

Breast implants are sized according to their volume in cubic centimeters (cc).

How do you know what size implant to choose? Looking at pictures and talking to friends who had a breast augmentation might help.

Off course the volume will depend on the shape and size of your actual breasts, your frame and the size you want to achieve.

Our plastic surgeon will advise you thoroughly. Bringing pictures of a desired restult to be shown to our surgeon, might be very helpful.

Kenneth Hughes, MD · Answer

Thanks for your question. Profiles are just how much an implant pushed your breast tissue from the ribs. The higher the profile the more your breast will "stick out" from your body. The higher the profile the more fake they tend to look but that is also based on how wide your chest width is or base diameter in the plastic surgery community.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  From the goal pictures, it appears that you want a very round, full-appearing breast.  Most likely this will require an ultra high profile implant.  Your starting anatomy is excellent.  You should be able to have an excellent result.  I would not get caught up on implant diameters and let your doctor choose the right implant to match your goal.  Best wishes to you.

Daniel Barrett, MD · Answer

Dear Theslowturtle,
breast implant type and sizing, selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ram Kalus, MD, FACS · Answer

I am afraid I approach things a little differently. I try not to put the onus of implant selection on my patients, since there are two many variables and parameters which need to be considered. The urgency in your email suggests another follow up with your plastic surgeon and it would be improper for any of us to make any specific implant size suggestions without examining you. The pictures you have provided certainly correlate with a high or ultra high profile projecting implant that definitely gives an "augmented" appearance as opposed to a natural appearance. If that is the look you. are seeking, make sure you share this photos with your surgeon, who will hopefully be able to make use of those photos to select the implant which will achieve a result for you that most closely resembles those photos when all is said and done. In summary, your "job" is to communicate to your surgeon the look you want to achieve, ideally with photos. Nude photos of women's breasts are far more useful than those in clothing, bra or bathing suit. It is your surgeon's responsibility to select the implant that will achieve that outcome for you. One word of caution. The highest projecting implants have a mechanical disadvantage in that they have a greater tendency to flip, resulting in a peculiar breast shape and potential discomfort. We have not seen that particular problem with the IDEAL implants (saline filled, adjustable). Several of the manufacturers of silicone gel filled implants are aware of this complication and working on redesigning some of their higher projecting implants. I recommend you follow up with your plastic surgeon, and if you have doubts or concerns you can certainly consider delaying your surgery until you feel confident about your treatment plan. Best of luck to you.

Donald R. Revis Jr, MD · Answer

Good morning!The XHPs are probably where you want to be- 535cc. I use a lot of them, and patients love them! They are overfilled and have a rounder appearance than UHPs, so I believe they will give you a result more like your goal pics. Good luck!

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and the best shaped implant for you at that volume would be determined by measurements at a consultation as ideally one wants the width of the implant to be no wider then your natural breast width
Dr Corbin

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry.
You may be an excellent candidate for breast augmentation surgery. Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Extra High Projection vs Ultra High Projection? What are the differences? Mentor Gummy/Silicone, inframammary incision (Photo)

Answers (9)

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