Possible to Switch from High Profile to Moderate or Moderate Plus?

I am a thin, petite woman with very little soft tissue coverage. I recently had BA with 350cc Mentor high profile silicone implants placed under the muscle. My surgeon used this type of implant in order to adequately fill my breast (after breast feeding 2 kids and having stretched skin and involution, nipple ptosis) He was concerned about rippling and wanted to give adequate structure to support my nipples.

In general, I like my breasts; however, I wish they looked a little more natural. What is your advice? Is it possible to switch to moderate or moderate plus later?

Doctor Answers 13

Breast Augmentation: Moderate Profile plus/or High Profile

I believe that your result is good, however, a frontal  view will give us more information pertaining to the cleavage and overall breast shape. A moderate profile plus implant is an excellent choice because it offers a more natural appearance than a high profile implant. The high profile device tends to make the breast look more globular (ball-like), whereas the moderate profile device is preferred most often. With the information given,  I suggest substituting to a moderate profile plus implant.     

Orange County Plastic Surgeon
4.6 out of 5 stars 21 reviews

Switching implants could make you look more flat

The high profile implants have more projection, ie, are taller.  Swithching to a mod + ( I would not use a mod implant in you - these are for women with wider ribs) will maintain your volume but with less tall implants.  I would think long and hard about this - your pic reveals a reasonable result and an implant replacement procedure may not lead to the type of improvement that you think you will get.

David Shuter, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 3 reviews

Profile of breast implants can be changed.


1) But, changing the profile of breast implants will not necessarily make you look more natural. How the surgery is done, and implant size, are more important.

2) In the picture, your result looks good. Perhaps you should leave well enough alone.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Switching from high to moderate

Judging from the one photo you provided, your results look pretty good. High profile implants can be used to address sagging. You may need a breast lift if you want to switch to moderate profile implants, so you may want to reconsider your decision.

Breast implant revision/sizing

Yes it is possible to exchange and implant types (profiles)  but you should be aware that every surgery has its potential  complications. Therefore, if you are generally pleased with the results of your surgery you may want to avoid any further surgery unless it becomes necessary.

If revisionary surgery is decided upon, it will be very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
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 press 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.

Implant choices

If you are not happy with the high profiles because there is too much projection, you can always switch out to a lower profile implant.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Changing breast implant style after breast augmentation

Although you only have an oblique view of your breasts, from what I can see, this is a very good result and your breasts look as natural as possible with a breast implant.

I do not think switching to a different style of implant will make any difference, as the final result depends on how the pocket was created for the implant.

Please remember, every time you have surgery complications, although rare, may occur. My advise is to leave your breasts alone!

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon
4.7 out of 5 stars 13 reviews

Implant profiles

Personally, I think you have a beautiful result which looks very natural.  Yes, you could switch to a lower profile implant later, but this probably won't change the appearance of your breasts significantly.  I suggest speaking to your surgeon about your concerns; he or she chose the high profile implant for specific reasons, and therefore could most easily discuss the tradeoffs and benefits of a lower profile implant.  Good luck, /nsn.

Nina S. Naidu, MD, FACS
New York Plastic Surgeon
4.3 out of 5 stars 6 reviews

Switching Implants

Looking over your photos, I would have to say that your surgeon has produced a nice natural result.  I am not sure how much more natural you would like to look.  Remenber the more breast surgeries one has, that more difficult it will be to achieve a good result.

You have a good result, I would say leave things alone.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 70 reviews

Switching from high profile breast implant to low or moderate profile

This isolated view makes your result appear excellent. Perhaps the frontal view would make the appearance of the high profile implant more noticeable. Switching to a lower profile is possible but it is not without its risks. It will increase the base diameter of the breast while diminishing the projection. 

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 72 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.