Round Moderate Vs High Profile Implants

I am an extremely small chested athletic type person getting a breast augmentation. I was told by my plastic surgeon that high profile would be the best. I'm not sure I like the looks of them on patients the same size as me. What is the difference between round moderate plus and high profile implants?

Doctor Answers 36

How to pick breast implant sizes or shapes.

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1) This is the most common type of question on RealSelf.

2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical.

3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like.

4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big.

5) I recommend that the surgeon NOT make a final implant choice in advance, because this is just an educated guess.

6) The surgeon should have a large inventory of different size and shape implants available in the operating room.

7) Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.

8) Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating roon inventory, and put in your breasts to complete the operation.

Manhattan Plastic Surgeon

The high profiles are less natural looking

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The three implant profiles are designed to create different "looks" depending on what the patient desires.

"Moderate" profiles look the most natural (what nature can make) with no excess upper pole fullness.

"Moderate plus" profiles look slightly fuller than natural, what one of my patients termed "perma-cleavage."

"High profile" implants are designed to provide dramatic excess upper pole fullness.

If your chest wall is very narrow, and if you have very little breast tissue, the high profiles might be okay for you. Otherwise they might seem too big and buldgy. Make sure you see pictures of many patients with high profiles to be certain it is a look you want.

Ground moderate vs. high profile.

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When I start the implant sizing process with my patients we think about the width of the breast first.  If an implant is too narrow on the chest it will look like a torpedo.  If an implant is too wide you will make a patient look top heavy.  For my patients I strive to achieve a sense of balance.  The degree of curve under the arm is used to find a sense of balance with the curve of the hip.

Once we find the right diameter, the diameter that fills the chest wall nicely, the diameter that balances with balances with a curve of the hip then we turned towards the projection.

I can give a patient Low, moderate or high profile implant all with the same diameter.  In general, most of my patients are looking for more than a low profile.  I personally don't care for the shape of the low profile implants.

In general I find a moderate or moderate plus implant tends to give a nice contour.  If a patient really wants a larger cup size that's when I turn to a high profile .

My suggestion to you would be to think hips and curve first.  Then decide how much projection you want.  A small chested and athletic person will look more natural in a moderate profile implant than in a high profile implant.  A silicone implant will tend to look more natural than a saline.

I have included a link below that I share shared with my patients on my website.  I hope that it is helpful to you.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Moderate Profile + Breast Implants More Natural Than High Profile

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Thank you for your question. The plastic surgeon that you choose we will be able to help you make the decision whether to have moderate profile plus or high profile breast implants.

Many important factors are taken into consideration most importantly the width of your chest and the current shape of your breast.

Generally speaking a moderate profile plus breast implants is designed to give a more natural looking breast. The moderate profile plus breast implant is flatter and wider than the high-profile breast implant. In most patients this produces more cleavage and more fullness on the side of the breast which most patients find appealing.

The high-profile breast implant is narrower and higher or projects outward more from the chest wall. The high-profile breast implant will give more fullness of the breast above the nipple areola in most cases.

Since you have a small chest you may be a candidate for a high profile implant if you do not need fullness on the side of the breast and increased cleavage.

Be sure to consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experiencing breast cosmetic surgery and has a good reputation in your local area.

High profile are rounder

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The higher the profile, the more round the implants for the same width. If you have very little soft tissue, then high profile implants will give you breasts that look more like the implants. I generally start with the flatter, least projecting implants when analyzing a patient and see if the dimension of implant that fits the natural breast will give the look you desire. If not, then I start to vary the projection and width. It is rare that I end up using the high profile implant if a patient does not want to look "done" or "unnatural." When in doubt, go smaller rather than larger.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast Implant Profiles?

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Thank you for the question.
The difference between these implants have to do with the dimensions ( diameter and height)  of the implants. For example, the high-profile implant has a greater projection and a smaller diameter  compared to the moderate profile implant. The moderate plus profile implant as projection and diameter characteristics that fall between the moderate  profile and high profile implants.
I prefer to have a wide selection of implants ( all profiles)  available in the operating room. I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 
By the way, the most common regret after this operation, is “I wish I was bigger”. 
I hope this helps.

Impant shapes

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Volume for volume, the high profile implants have a smaller diameter or base width and  more projection than a moderate plus implant.  If you are narrow and want alot of projection you go with the HP's.  If you want more side breast or curve, you go with the moderate plus.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Details! Details!

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Hello Godsend101, 

First, your surgeon should be able to show you a wide array of outcomes of surgeries they've performed to show you what to expect. If you can't find any past patients with your body type, you can turn to communities like Realself with their huge number of before and after photos. There are also quite a few fitness models who have had breast augmentations that posted on their blogs and youtube channels and their photos are a Google search away!

The wide array of implant sizes, styles, shapes and volumes can be very over whelming to prospective patients, and rightfully so! The projection, or profile is is the width-height dimension for the implant. Relating and utilizing the implant diameter and projection to the relation of a patient’s body measurements and current breast volume are part of the process for an experienced surgeon. Patients are never expected to make a determination on this detail at my practice. However, to answer your question, for Natrelle Classic Round Smooth Implants the Moderate Plus (Style 15) Implants range from in diameter with corresponding projections of 3.2-5.2cm and volumes of 158cc to 752cc. The High Profile (Style 20) range from 9.0-15.3cm in diameter with projections of and volumes of 120cc to 800cc. So, when you ask for the difference between the Moderate Plus and High profile, there are many answers depending on which size you choose for each. 

The easiest is that the base diameter on most of the High Profiles is slightly smaller for the amount of volume (cc) they contain, so they project out slightly more than the Moderate Plus. But to give you an idea of what you're dealing with if you want to really get into this, these are 2 of 45 styles just offered by Allergan Natrelle and each style has over 20 options. It's a lot. (This doesn't even include the newly released Natrelle Inspira form stable!) That is why I'd recommend you visit several board certified plastic surgeon very experienced in breast augmentation to be evaluated in person and let them be your guide. 

You should see some similarities in their recommendations for you based on your exam and desired outcome. We see many patients that make requests, but they don't exactly know what they're saying. For example, "I want High Profile implants." This patient could just want to look a certain way and thinks this implant is what will give her that outcome. An experienced surgeon will let you know when what you're asking for is not going to give you the outcome you requested and help educate you. A lesser surgeon will just say "Okay!" and move forward, leaving you responsible when you're unhappy with the outcome. Choose wisely! Best of luck to you!

William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Choose size, then profile

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The most important thing for you is to pick a size that is consistent with your lifestyle and level of activity. The way I ususally do this is to have the patient try differnt implants on in a bra of the desired cup size. When you are doing this the implant just conforms to the bra so it isn't what we go on the choose profile. The next most important thing in my opinion is the implant diameter, which has to conform to the natural base diamter of your breasts. Once you know the size the profile is selected by whichever type fits the base diameter in the size you want. this will most likely be high profile if you want a larger size and have a small diameter, while a small size will be one of the types with a wider base diamter.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

How To Choose Between Moderate Vs High Profile Implants, Confidently

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Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant”.

So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours, one that will let you see how you'll end up looking like before you actually have the procedure.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

I hope that answers your question on how to pick the right implant. Thank you for reading and best of luck on your journey!

William Rahal, MD
Beverly Hills Physician
5.0 out of 5 stars 75 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.