Can I Achieve a Natural Looking Result with High Profile Implants?

I guess that would involve your concept of what "natural" is, as my patients often describe a different scenario. Your job is to let your plastic surgeon know what you want to look like and their job is to select the best implant.It is very difficult to determine the exact size and 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 below link.

High-profile implants are designed to maximize volume on a narrow base diameter. In other words, pick the size of the implant you want in consultation with your plastic surgeon, then he or she will determine which profile best fits the base foundation of your breasts. In your case, although I can't make any specific recommendation, it appears that your chest is narrow and the base diameter is small, so even though 280 cc is on the small side it might be a very good choice for you. In general, high profiles are not the most natural look but not everyone agrees on what natural means anyway.

A high profile silicone implant tends to have the dimensions of a moderate plus profile saline implant. Therefore it really depends on the choice of silicone or saline. I generally avoid high profile saline but tend to favor high profile silicone.

HP implants do not necessarily look fake.  It is really the size of the implants and the underlying breast tissue volume that you have that will determine that. I prefer HP implants for patients with narrow frames.

Natural can be difficult to explain to others and one persons 'natural' may be artificial to another. In our practice we use photos, sizing implants, and other methods to help determine breast size and projection. You should focus on the look that you would like, and bring your goals to your surgeon. The surgeon should be willing to use an implant which will help you reach your goal, the result which you feel will be natural for you. Twenty years ago all breast implants were low profile and considered natural. They blended fully with the breast and moved and flowed with the breast. Currently we are in a phase of higher and rounder breast implants, what might have been considered a grade I capsule years ago. They are natural enough for some and many use them. They do allow the surgeon to push up the volume on those with a very slim chest such as yours and allow a fuller augmentation, yet they may not be for everyone. You can have a very nice augmentation with a moderate profile implant, so if you are concerned, make sure that your surgeon know what you want, and what 'natural' means to you.
Best of luck,
peterejohnsonmd