Should I go HP or XHP? (Photo)

Thank you for your question.  Unfortunately photos, measurements and an exam would be necessary to definitively answer your question.  

Thanks for your inquiry and excellent pictures.  I think you are consulting with a good surgeon who has given you sound recommendations.  Honestly, I think you should answer the question "how fake is fake to you?"  I thought on profile both your choices look good, but clearly the "XHP" has more projection.  As for tuberous breasts, are you getting a periareolar lift?.  I will say that a less projected implant is more forgiving in getting great shape when you are dealing with a tuberous breast.

A volume difference of 45cc is really not that noticeable in my opinion.  The difference in profile here is also very small, a fraction of an inch, so it does not make that much difference either.  It's really not worth your time worrying about this minute difference if you trust your surgeon, you could allow the surgeon to try the two implants out during surgery, and pick the one that looks better.In consulting with patients, I always advise that it's best not to focus on a specific implant, since it rarely makes a big difference in size if you go a little up or down, but it might make a difference in "fit", and that's something that surgeon and patient have to come to a trusting agreement about.

In terms of picking the right implants to achieve your goals, generally speaking, I consider two
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
planning – The measurements of your chest wall are taken. Also, the
breast dimensions including the height, width, and current dimensions of
each breast form the basis of dimensional planning. Based on these
measurements, the implant size is recommended. This will give you a
unique breast implant that is suited for your body frame. However, there
are some limitations of what size we can recommend. For instance, some
implants may just be too big for a narrow chest wall. Your surgeon can
review this with you during the consultation.Gel Implant Sizing
system – During the preliminary breast implant consultation, you will
be provided with an option to “try on” a variety of implant shapes and
sizes. You can also visualize the possible outcomes of your surgery
which helps you to get that perfect size to give you the shape that you
longed for. This way your preferences are known and you can then pick a
range of implants that will “fit” just right to give a soft natural
fuller look. Hope this helps.Dr.BasuHouston, TX

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant type/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. I have found that the use of words such as “natural” or "C or D cup" or "fake look” 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.
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.

While the differences between the two implants sound huge, they really aren't. As long as you feel comfortable with your plastic surgeon and you like the results you can see in his/her photo gallery, you will likely be happy. If you have doubts, get a second opinion. ((Just as important in choosing a good surgeon, however, is to communicate your goals clearly.)To see a breast augmentation with 325 cc implants with a moderate plus profile, click on the link below.

Thank you for your question.  I think in the setting of a tubular breast deformity correction  in theory the high-profile implant with a higher base diameter may be more accommodating than the ultra high-profile implant.  the best position you could make a his to allow your plastic surgeon to make that decision in the operating room table by placing a Sizer  of these 2 implants and have him make the decision of which one first you best. best of luck !!