Small frame, can I do 400cc moderate silicone implants instead of high profile? (photo)

When determining what implant would be most appropriate to
use, there are many factors that should be taken into consideration.  In my practice, I base implant selection on measurements of your chest wall and current
breast size to help determine the optimal size and projection of
implant that will best fit your frame and meet your goals. Your specific chest wall anatomy is a very
large component of this decision, because the implant must fit your frame in
order to produce an aesthetic result.  This precision measurement and sizing technique facilitates an
active consultation from which you should come away feeling confident that you and your surgeon are on the same page regarding what your goals are for the procedure. The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!
Dr. Schwartz

Hello! Thank you for your question. In general, implant size does not
correlate with bra cup size. The cup size itself will vary from
manufacturer to manufacturer as well as who is doing the actual
measurements. Thus, cup size is never a reliable indicator for your
breast size. I typically encourage my patients not to communicate her
desires in cup size but more on the actual look and appearance. Good
communication between you and your surgeon of your expectations is
warranted - choosing your surgeon wisely is the first step. Discussion
of your wishes and having an honest and open dialog of your procedure is
mandatory (e.g, implant type, incision, placement, lift, etc). I have
found that photographs brought by the patient is helpful to get a
visualization of the appearance you wish for in terms of size, shape,
fullness, etc. In addition, your surgeon's pre and postoperative
photographs should demonstrate a realistic goal for you. Once this has
been accomplished, allow your surgeon to utilize his/her best medical
judgment during the procedure to finesse the best possible result for
you after preoperative biodimensional planning and fitting the right
implant for your breast width. Hope me that this helps! Best wishes for a wonderful result!

The footprint of your breast on your chest dictates what is a safe size to have implanted. This is called your base width... Sternum to lateral breast distance essentially. Without this measurement, hard to tell you what is safe.Sheila NazarianBeverly Hills

For our patients we have to take into account the amount of tissue coverage to preveht visibility of the implants. Either a moderate plus or a high profile would be best.

The answer to your question depends on two factors: the width of your chest wall and the width of the implant. A moderate profile implant is wider and less projecting (and less round) than a high profile implant which is more narrow, more projecting and rounder.  If you have a small, narrow frame a moderate profile implant will give you more lateral fullness  ("side boob").  If you like that aesthetic feature, which it appears you do from your wish photos, a moderate profile implant may be a better choice.  But, in order to be specific a physical examination must be done superimposing the measurements of the actual implants on your chest wall.  Good luck!Thomas Taylor, MDPasadena, CA