Will Mentor ultra high profile implants give me the natural shape I desire? (Photo)

In general, ultra-high profile (UHP) implants tend to give more of that fakey look, especially when placed over the muscle.  If you are looking for a "natural" shape, they wouldn't be my first choice for most patients.  Best to address your concerns with your surgeon.  Perhaps he/she has a rationale for this selection that isn't clear from the information you've given here.  

HP implants, which are a more modern shape than moderate profile implants, fit most women better.  They have a more appropriate base diameter and can be made to look very natural.  High profile implants are the first choice in my opinion.  I rarely find an indication to use UHP, moderate or moderate plus implants.  The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of volume.What you need to be worried about is placing the implants on top of the muscle.  There is absolutely no reason for this approach.There are many advantages to sub muscular dual plane placement and very many disadvantages to sub glandular placement. I would see no indication to do anything but sub muscular.  This can be best accomplished with the armpit approach. The most sophisticated approach to breast augmentation is through the armpit with a surgical camera (transaxillary endoscopic). Using this modern approach the space can be crafted under direct vision, with virtually no bleeding and no postoperative bruising. Most importantly, the shape of the breast is meticulously created. The other, older methods of insertion are technologically less advanced. Both silicone and saline implants can be placed through the armpit by a surgeon with skill and experience using this approach. The incision in the crease is the oldest method of placing the implants and puts a scar directly on the breast.





Subglandular silicone implant placement is the historical approach to this surgery, and was widely used in the 1960's. The implant edges are more visible, the risk of rippling is higher, the implant is in contact with the non-sterile breast tissue so the risk of infection and capsular contracture is higher. The interface between the breast tissue and the muscle is blurred so the implant interferes with mammography more than sub muscular placement. The blood supply surrounding the implant is worse so the risk of capsular contracture is higher. The support for the implant is less so there is more long term shape abnormalities and sagging. The look of a sub glandular implant is much less appealing than a sub muscular implant. The placement of sub glandular implants makes any subsequent revision surgeries more complicated and less successful. There are no advantages to sub glandular implant placement.

Without examining you it is difficult to be certain but your suspicion sounds well founded. Ultra-high profile implants will almost never give a natural appearing result but you may not be able to achieve the DD cup you want without them. If you aren't sure about what your surgeon is suggesting then I would suggest getting a second consult before proceeding with surgery. Best of luck!