Maximize upper pole fullness - which implant is a better choice?

Question

Hello, I’d like to increase my upper pole fullness. I like the so called, “fake look”. Am trying to decide whether to stay with a slightly larger Natrelle SRX extra full profile implant that I do really like or switching to a Mentor Boost High Profile for my revision/exchange. If my main concern is upper pole fullness and a “round” or fake look which is the better choice? Is there another implant, more appropriate to my criteria I should look into and see/feel that I may not be aware of?

Daniel Barrett, MD · Answer

Dear Generous364513,

breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I have been in practice for over 30 years, and revision breast surgery is a large portion of my practice.  I can give you a few perspectives.  The most important thing would be to perform an internal bra/capsulorrhaphy procedure.  Additionally, I tend to like the ultra high-profile implant from Allergan as opposed to Mentor.  The Allergan implant holds that shape better and has a much less rupture rate.  You should be able to have an excellent result. Best wishes to you.

Maximize upper pole fullness - which implant is a better choice?

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