Low-Plus better than Moderate Profile for smaller implants?

To accurately answer your question would require an examination. A number of factors must be considered when choosing the correct implant. In my opinion, only your surgeon has the knowledge and experience to do that. The patient should only be concerned with how they wish their breasts to look. Different profile implants allow for giving a patient increased volume and projection for a given diameter. In our practice, we use low profile implants in very limited situations, while using either moderate or high profile implants to give more fullness while  staying within the base diameter of the breasts. Consult an experienced surgeon ,communicate your desires, and trust them to make the correct selection.

Your board certified plastic surgeon has had many years of training and in some cases decades of experience in dealing with these issues. Your surgeons fund of knowledge should be far greater than you can gather though a few months of research. Rather than trying to make these decisions yourself, use your surgeon as a resource to guide you through the selection process. 

hello thank you for your question and provided information as well;..based in your question its difficulted evaluate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.

It looks like you have been doing your research.Breast width is very important when it comes to determining an appropriate implant. We also know that implants below a volume of 300cc's maintain excellent long term results.Here is some advice:1) The moderate profile or low plus profile will probably work for you. The low profile plus is 11cm wide and has a little bit less projection. This implant would probably fill the space and cleavage very well.2) If you are worried about rippling, Allergan makes an SCX & SSX implant with all the same dimensions as an SRX, but they are filled more and have less chance of wrinkling. They cost a little more.3) If your surgeon has 3D imaging, see what the two implants look like on your body. There probably won't be much of a difference.Good luck. You are on the right path to getting a good result. Keep up the research and asking very good questions. This will only help you in the long run.

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

It seems that you are quite petite and a moderate plus would be beneficial due to the narrower diameter that would fit with your base diameter. Best of luck 

If you and your PS have narrowed the choices down to 170cc and 195cc, I recommend that you try on a profile bra with the 170cc natural volume and 195cc moderate profile under a tailored blouse, tight sweater, swimsuit, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected.  I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

The difference between higher and lower profiles for a given volume is projection and for a given width is volume (with the high profile implant being greater in both scenarios). The moderate plus is the most commonly used profile in my practice. It allows for the most reasonable volume in a given BWD. In my practice, low profile implants are the least commonly used (widest and flattest). I will typically reserve high profile devices for smaller framed individuals or those seeking a less subtle more dramatic change (the opposite of natural). 
In general, the difference between a high and Mod (+), in reality, is very small (on the order of millimeters).  In my practice, I generally classify profile based upon patient preference. A higher profile provides a more dramatic look (size for size) vs. a moderate (+) profile which is relatively more subtle and understated. That being said the vast majority of patients will select a moderate + profile device (especially those seeking a more natural and subtle result).
With regards to your specific question, you have a smaller frame and typically higher profiles are necessary to deliver greater volumes in more narrow or constricting dimensions.
I often find it is easier to decide on a profile, this combined with BWD will determine volume. Trying to match a particular volume to a profile may lead a BWD mismatch. In my practice, smaller framed individuals do prefer higher profile devices. I discourage pursuing significant volume as this is a hallmark of the "augmented" or "fake" look. Small girls typically have smaller breasts. Over-sizing leads to a frame mismatch which is not "natural."
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your excellent question.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like.  In general, most patients seeking a cosmetic augmentation will use a moderate, full, or ultra full implant profile to ensure appropriate breast width and projection to yield a pleasure contour.  Best wishes! 

Dear kngarci88,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