Should I go with a Mentor Moderate Classic profile or Moderate+ profile Implant?

Hi ashley340, and thanks for your
question. While I understand your trepidation regarding the
"pancake"-like appearance of the moderate classic, keep in mind that
implants were made to work with your body. Just because an implant looks flat
when you hold it doesn't mean your breasts will adopt the exact shape after
surgery. When considering an implant profile, the width of the base is equally
important as how much it projects. Your surgeon likely chose the moderate
classic because of the existing dimensions of your chest. If you're still on
the fence, it can't hurt to schedule another consultation with a different
surgeon just to get a second opinion. Best of luck.

The 450cc MP+ is 14.0 cm wide and 4.2cm deep. The 470cc MP is15.cm wide and 3.5 cm deep. The MP+ would give you more projection with a slight decrease in width. It would likely be my preference. The MP implants have a tendency to have more palpability (knuckles), particularly with a soft breast. There you go, that's my answer.I would suggest that you spend some time using a sizing system (Mentor's is excellent) to fine tune your preference and I would strongly endorse a three dimensional imaging (Vectra is exceptional). It is very important that you speak to your plastic surgeon and discuss the details. Many plastic surgeons hold extremely dogmatic views, that, despite decent evidence, takes patient preference out of the equation. Take your time. You don't want to be disappointed.

Dear Ashley,   It is impossible to give  a specific answer to your question without seeing your pictures or examining you and definitely without having the information about you chest and breasts circumference measurements, which are critical for the correct implants size selection.    In my practice, most of the women come to the consultation with a clear idea about their desires cup size. However, few have difficulty figuring out the size that will be attractive to them. In that case, we enable them to go through large selection of before and after pictures of my patients, which facilitate their ability to visualize their desired size,    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive.                Best of luck,                                 Dr Widder

I doubt your breast width is 15cm given your height and weigh,  12 cm is more likely. 470cc  is huge for you  IMHO. Most woman do not want wide breasts that are under their arm pits. I would consider another consultation. Good Luck!

Thank you for your question. Choosing an implant size can be daunting. I recommend you ask your surgeon to show you sizers on your frame. Looking at actual implants in a testng bra is not a perfect tool but I find it extraordinarily helpful for most patients. I find photos less accurate and cup size can mean different things to different patients and bra vendors.Think about how the curve of the implant balances with the curve of your hips. Too narrow can look like torpedoes, too wide can make you look heavy. Once you find the width that compliments your frame then think projection, low moderate or high. Look at yourself in a variety of clothing.It's hard to say without photos, but a 470 MC sounds wide for your frame. In general I tend to favor the shape of Moderate profile implant over low.When in doubt speak with your PS again.  It is much better to be comfortable with your choice before the day of surgery.I have included a link  about how to size. I hope it is helpful.Best wishes. 

in my practice, wider moderate classic implant of size greater than 300 cc are rarely used. Unless you have a wide chest for your body size, similar sized mp+ implants will give you more projection.  Most of my patients might even prefer the HP.  Projection helps to give a slim look.Best Wishes,Nana Mizuguchi

To choose the right implant for you, an exam in person is essential. Moderate profile is just one option. In many instances I use moderate plus or even HP's.

The base width of the implant is important.  If you want to use a moderate plus implant you will need to go to a larger size.  Discuss your options with your plastic surgeon.  

The best cosmetic result in any particular breast
augmentation patient depends on a variety of factors, including: your
individual anatomy, realistic expectations, desired result, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s or implant type. The thickness of your tissue, breast
dimensions which include the width, height, and projection, as well as chest
wall width all need to be considered when choosing an implant. Trying on
implant “sizers” of various shapes and volumes while wearing a tight t-shirt,
bra, or bathing sit at a preoperative visit will help you and your surgeon
choose the optimal implant.Keep in mind that following the advice from a surgeon on
this or any other website who proposes to tell you what to do without
examining you, physically feeling the tissue, assessing your desired outcome,
taking a full medical history, and discussing the pros and cons of each
operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, thank for your height and weight and breast size estimates,
they do help. There is really no way to accurately predict what size you would
like without an examination. During your examination and consultation, you
should try on some sample sizes and see what you are comfortable with. Then the
PS can help explain with the size and current condition of your breasts the
effects of those sized implants will have on you.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you. They have the experience. If you are
uncomfortable, go on another consultation. Having said that, do not over study the numbers. There
is more to it than just looking at the numbers, your frame, skin quality,
tissue coverage, breast history, etc are all important when considering breast
augmentation. Do not try to over think your PS. They have the experience.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon