I have wide set breasts but a relatively small frame (5’5" 118lbs) — from my research I would assume I’d need a moderate plus profile implant to compensate for the wide set and give an illusion of some cleavage. But my PS recommends high profile 385cc/415cc based off the Vectra 3D measurements and simulation. Is it ok to be relying on my surgeons recommendation based on the Vectra 3D analysis?
Answer: Https://www.realself.com/dr/miguel-mota-santo-domingo-dominican-republic Thank you for providing photos with your question. It is hard choosing between types of implants, so answering this question would be easier with an in-person examination. That said, plus or minus 400cc seems to be a good size for you. Because of the space between your breasts, I believe you would benefit more from a wider base and high profile implants have a smaller base then the moderate plus profile implants. If It where up to me, I would go with the moderate plus profile implants. They will help much more with your cleavage. I would not put too much faith in the 3D images. They help give patients an idea of final results, but I can say from experience your results will be much better then that simulation, regardless of the type of implants you choose. Please consider that your left breast is a tiny bit lower and more off to the side. Breast implants will not address this. This is MINIMAL and shouldn't be a concern...... but if it is, a small donut lift could be an option and it would help make your breasts more symmetrical. Best of luck on your procedure! Dr. Miguel Mota
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Answer: Https://www.realself.com/dr/miguel-mota-santo-domingo-dominican-republic Thank you for providing photos with your question. It is hard choosing between types of implants, so answering this question would be easier with an in-person examination. That said, plus or minus 400cc seems to be a good size for you. Because of the space between your breasts, I believe you would benefit more from a wider base and high profile implants have a smaller base then the moderate plus profile implants. If It where up to me, I would go with the moderate plus profile implants. They will help much more with your cleavage. I would not put too much faith in the 3D images. They help give patients an idea of final results, but I can say from experience your results will be much better then that simulation, regardless of the type of implants you choose. Please consider that your left breast is a tiny bit lower and more off to the side. Breast implants will not address this. This is MINIMAL and shouldn't be a concern...... but if it is, a small donut lift could be an option and it would help make your breasts more symmetrical. Best of luck on your procedure! Dr. Miguel Mota
Helpful 3 people found this helpful
Answer: Implants Your surgeon who has examined and measured you will be the best one to tell you which implant will give you the look you are wanting. However, if you are concerned about his/her selection, then get another opinion.
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Answer: Implants Your surgeon who has examined and measured you will be the best one to tell you which implant will give you the look you are wanting. However, if you are concerned about his/her selection, then get another opinion.
Helpful
October 13, 2020
Answer: I have wide-set breasts but a narrow frame — should I go high profile or moderate plus? (Photos) Thank you for your question and photographs. I think you are starting from an excellent position and should anticipate a nice result. 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. I would recommend seeing additional ASPS board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. I think it 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, but I would go with a moderate profile based on your concerns. Best wishes!
Helpful 1 person found this helpful
October 13, 2020
Answer: I have wide-set breasts but a narrow frame — should I go high profile or moderate plus? (Photos) Thank you for your question and photographs. I think you are starting from an excellent position and should anticipate a nice result. 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. I would recommend seeing additional ASPS board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. I think it 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, but I would go with a moderate profile based on your concerns. Best wishes!
Helpful 1 person found this helpful
October 12, 2020
Answer: I have wide-set breasts but a narrow frame — should I go high profile or moderate plus? I don't use the Vectra system because I don't think it's necessary. I talk with my patients and ask them what kind of look they want to achieve. If they want a fuller upper beast with more projection and a natural slope, then we discuss high profile implants. If they want to be more conservative with the upper breast volume and projection, then we discuss moderate or more commonly moderate plus implants. I tend to use more high profile implants on petite women because you can get a little more volume in the implant with out being too wide for the natural breast width or footprint. An experienced surgeon will put your breast implants as close together as possible. However, you need to leave the muscle attached to the breast bone, so there are limits on cleavage. However, the width between the breasts doesn't affect my recommendation regarding high profile vs moderate plus. Hope that helps and good luck!
Helpful 1 person found this helpful
October 12, 2020
Answer: I have wide-set breasts but a narrow frame — should I go high profile or moderate plus? I don't use the Vectra system because I don't think it's necessary. I talk with my patients and ask them what kind of look they want to achieve. If they want a fuller upper beast with more projection and a natural slope, then we discuss high profile implants. If they want to be more conservative with the upper breast volume and projection, then we discuss moderate or more commonly moderate plus implants. I tend to use more high profile implants on petite women because you can get a little more volume in the implant with out being too wide for the natural breast width or footprint. An experienced surgeon will put your breast implants as close together as possible. However, you need to leave the muscle attached to the breast bone, so there are limits on cleavage. However, the width between the breasts doesn't affect my recommendation regarding high profile vs moderate plus. Hope that helps and good luck!
Helpful 1 person found this helpful
October 12, 2020
Answer: I have wide-set breasts but a narrow frame — should I go high profile or moderate plus? Hi. To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation. So in your case, based on your picture I would most likely be choosing a high profile implant. But that is just a guess since I am not measuring your frame etc. With you being thin I would typically recommend under the muscle placement. You appear to have a fair amount of space in between your breasts to start with and so you should expect to have a similar amount of space afterwards because that is largely determined by your personal anatomy and where your pectoralis muscle inserts into the sternum in the midline of the chest area. As you will see with various answers to your questions on this forum, you will get different opinions from different people and ultimately you will need to decide what makes the most sense to you. Personally, I do not like my patients picking out a profile but feel that that is my job and area of expertise to do so. My goal is to try to best meet my patient's expectations and postoperative goals, which includes size, shape and symmetry. I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision. Good luck and take care, Dr. Howell
Helpful 1 person found this helpful
October 12, 2020
Answer: I have wide-set breasts but a narrow frame — should I go high profile or moderate plus? Hi. To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation. So in your case, based on your picture I would most likely be choosing a high profile implant. But that is just a guess since I am not measuring your frame etc. With you being thin I would typically recommend under the muscle placement. You appear to have a fair amount of space in between your breasts to start with and so you should expect to have a similar amount of space afterwards because that is largely determined by your personal anatomy and where your pectoralis muscle inserts into the sternum in the midline of the chest area. As you will see with various answers to your questions on this forum, you will get different opinions from different people and ultimately you will need to decide what makes the most sense to you. Personally, I do not like my patients picking out a profile but feel that that is my job and area of expertise to do so. My goal is to try to best meet my patient's expectations and postoperative goals, which includes size, shape and symmetry. I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision. Good luck and take care, Dr. Howell
Helpful 1 person found this helpful