Will a 470cc extra high profile implant achieve a look similar to this? (Photo)

Question

Hoping to achieve a natural looking full breast. I completely trust my plastic surgeon and based off the sizers I tried, I liked the profile of the 450cc sizer and have been recommended 470cc extra high profile. After googling this size of implant I've come across some very natural looking and some very fake looking breast, just want to make sure I'm making the best choice. Thx

Christopher J. Davidson, MD, FACS · Answer

Thank you very much for your question.It is my humble opinion that a 470 cc implant
will never create a natural appearing breast.Although we may both find that size to be attractive, it is certainly utilizing
an implant at the larger end of the spectrum, which will create a result that
is less natural in my humble opinion.I
wish you the best of luck!

Thomas Trevisani, MD · Answer

Keep in mind the so " called" natural looking breast begins with an optimal breast shape pre-operatively. You seem to be close to this. Once the implant is placed, if the pocket is made correctly, and is maintained as such, the natural look can be preserved. If the pocket is smaller than it should be and or if the body shrinks the pocket- you may develop the unnatural look. It appears in my opinion- your decision and choices may achieve your goals.

Nelson Castillo, MD · Answer

Thank you for your question and photographs.  Based on your goal picture, I think a lower profile implant may be a more appropriate recommendation.  I think an extra high profile will supply you with too much breast projection, and a less natural shape than what it appears that you want.  An in-person examination is critical to choosing the best implant based on several key breast parameters, while allowing an opportunity to determine the need of a breast lift at the time of the augmentation to achieve the best outcome.  I would recommend you continue to speak with your surgeon to voice your concerns.

Curtis Wong, MD · Answer

as the sizing is only designed to give you an idea of what volume you will have.  Implant style (mod profile/high profile etc) is then selected based on your breast dimensions and if needing any diminishment of your space between the mounds.  When my patients size with unlined bras, I prefer to add 10% to the volume which would bring you closer to 500 cc's but the 30 cc's difference is not considered significant.

Raj S. Ambay, MD · Answer

Thank you for  your question.I think you will achieve the results you wish or maybe larger. But rather than focusing on the type of implant profile or the number of cc's or bra cup size (with is inaccurate and manufacturer dependent), I would recommend you communicate very clearly your expectations and desires. Your plastic surgeon will decide with you on the profile of the implant based on the breast width, your body shape, skin elasticity and thickness and native breast tissue present.  In my practice I usually explain the implant types, profile and rationale for using different implants/ profiles. I also use the a special sizing system pre-op and have patients try them inside a bra so they can get a sense of their look. I never tell them what size I have picked until they show me the "look" they REALLY desire by trying on the sizing system in our office. Then we sit down and evaluate "the look" they have chosen and see if it matches what I have chosen by measurements and physical exam.  It does make it both fun and is a healthier partnership between patients and the PS.  Speak with your plastic surgeon.

Jarrod Little, MD · Answer

Ultra-high profile implants will often lead to a very unnatural result and risk of complications in augmentation.  Ultra-high profile implants are generally reserved for breast reconstruction after mastectomy. An implant of this size may place you at a higher risk for capsular contracture and need for further procedures.  If you are unsure of your recommendation, it would be important to get a second opinion.  All good surgeons welcome second opinions.  It is important that you are seeing a board-certified Plastic Surgeon.

Tom J. Pousti, MD · Answer

Thank you for the question.  Online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. 
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.

Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.

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
Hello. Thank you for your inquiry and congratulations on your surgery! It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

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

Robert M. Grenley, MD (retired) · Answer

Although implants in the 475-500cc range may be good for you, since you like the look of a 450cc sizer and you appear to have the skin laxity that will accommodate a large implant while still achieving a natural look, I think that an extra high profile implant may give you a less natural and much more projecting shape than you are looking for. You would probably get a more natural result, more like the goal photo you shared, from  moderate plus or high profile implant, depending on which implant width in that size better matches the width of your breast.

Gregory Park, MD - Account Suspended · Answer

Ultra high or "extra" high profile breast implants tend to create overprojecting breasts that do not appear natural. If you are trying to achieve more natural appearing breasts you may want to ask your surgeon about implants with less projection, such as moderate plus or maybe high profile implants. Thank you for sharing your photos and question. Best of luck with your breast augmentation.

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