Are High Profile Implants Recommended for Patient with Wide Chest?

As your breasts are widely spaced you probably do not want to use a high profile implant if you want to maximize your #cleavage. It is very difficult to determine the exact size and profile shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the following link.

High profile implants can be used on a wide variety of chest diameters.  The implant base diameter should match the breast diameter.  The surgeon should measure the chest and help you choose an implant.  You should be picking the volume by trying on sizers.  Then together you and the surgeon can pick the right implant.

Thank
you for your question. You are a great candidate for breast implants. The implants will give you more fullness and rounder breasts.  Cleavage
will improve but not significantly because of your anatomy.  There are other implants that would look better in patients with your body type.   Choose a
board certified Plastic Surgeon. Best wishes

Please talk to your surgeon and explain what you define as "natural". High profile implants can achieve a natural looking result, however it may not do that for your body type if you have a wider chest. 

         It’s important to
understand that implants come in all shapes and sizes. Implants have unique
characteristics, which allow them to be used for specific indications. The
majority of patients will need moderate profile implants. These implants tend
to create breasts that appear to look more natural. This type of implant has a
wider base dimension. It creates a breast with less superior fullness and less
anterior projection.

 

         In contrast, high
profile implants have a narrow base dimension. These implants create a more
artificial appearance with more upper breast fullness and anterior breast
projection.

 

         In patients with
increased transverse chest dimensions, an implant with a broader base will be
necessary to create a natural appearance. In this case, a high profile implant
would be exactly what you don’t need. This would result in two breasts that
have significant projection, that are widely spaced giving a distinctly
abnormal appearance.

On a narrow chest I believe higher profile implants allow more volume without distorting the anatomy as much as lower profile implants.  There is not one correct answer to your question. By your photos you do not look like you have a wide chest, and higher profile implants will allow you to have more volume without distorting your anatomy.

High profile implants will tend to lower the incidence of visible rippling inyour thin body type but will not promote cleavage due to the pre-existing wide separation of your breast mounds.

The single most important dimension for breast implants is called the base width.  High profile implants have a narrower base width than standard or "moderate profile" implants.  High profile give more forward projection and less width...looking at your photo...you need width. I would ABSOLUTELY not recommend high profile implants in your case even at that volume.  I think you will have an increased space or gap between the breasts which sometimes can look unnatural.   I hope this helps!

 

Sincerely,

 

James F. Boynton, M.D., F.A.C.S.

It seems we are all in agreement that high profile implants usually work best on a narrow chest wall. As many of my colleagues have pointed out, the high profile gives you more projection and it is not as wide at the base. Thus, it will not look like the implant is encroaching under your armpit. However, there are exceptions to this if you have a convex chest wall (outward). To learn more about how to choose between high profile and moderate profile implants please see my video and blog post below.
Happy New Year!

WIthout knowing your breast base diameter, it's hard to say but in general I use a wider implant in women with a lot of space between their breasts. I, too, let patients select the volume they want, then match the profile of the implant with your measurements.
I would not hesitate to select an implant that is a bit wider than your breast base diameter in an attempt to get you some cleavage, at least in a push-up bra. I fully agree that exceeding the natural dimensions of your breast with a poorly-chosen implant can result in an unnatural-appearing result and even deformity later on.