High profile or moderate plus? At what volume? (Photo)

Question

Stats: 5'4", 125lbs, 35, no kids. VS bra size: 32C or 34B (I do not fill out the cups in 34B) Measurements: 30" around ribs, 34" widest part of chest, diameter of breast 13cm. Look desired VERY natural full C or small D. I DO NOT want torpedoes on my chest. A PS suggested 400 to 450 HP silicone Mentor implants with a crescent bilateral lift. 1) would the HP look natural on my frame? Or moderate plus profile? 2) is 400 to 450 too much for size desired?

Luis M. Rios Jr., MD · Answer

Thanks for the stats. They help a lot.Let me review your expectations. You are a 34B and you want to be a natural C or small D. Your current diameter is 13cm.Here would be my recommendations based on the numbers:1) 400cc HP will probably be a D cup but would fit your diameter.2) A 350cc Moderate Plus might get you a natural C or small D and fit your diameter.3) I don't think you need a crescent lift. Your nipples are centered and pointing straight ahead.Now, plastic surgery is not a complete numbers game, so a thorough consultation would be needed. Remember, all bra manufacturers have different cup sizing and are very inconsistent. At best, plastic surgeons can only guess a cup size. They cannot guarantee a cup size because all stores measure differently.The goal of the consultation is for the plastic surgeon to understand the patient's expectations by listening to the patient and possibly seeing some images that the patient brings. After that, the plastic surgeon tries to demonstrate what certain implants might look on a patient's frame.There are several ways to do this.  The implants can be placed in a tight shirt and shear bra and the patient can see if the size matches well with their body. If a plastic surgeon has computer imaging, like Vectra 3D, he can show the patient what she might look like with certain sizes.Once the patient is comfortable with a size, the plastic surgeon measures the diameter of the breast to pick the best width (profile) in order to obtain optimal fullness and cleavage.If the surgery achieves the look the patient saw in the consult, then whatever bra size fits really doesn't matter. In other words, concentrate more on the look than a cup size. If you need more clarification, go back to your original surgeon or get a second opinion. Numbers are great, but sometimes you need to see it to believe it!Good Luck!

Gary M. Horndeski, MD · Answer

At
size 32 B, each 100 cc corresponds to 1 cup size change.  If you want to be a C, it would only take 100
cc to go from a B to a C.  Instead of
doing augmentation with implants, I recommend a breast lift with fat
transfer.  There is a new technique
called The Bellesoma Method, which will reshape your breast tissue creating
upper pole fullness without implants, elevate them higher on the chest wall and
more medial to increase your cleavage. 
Vertical scars are avoided, nipple sensation and the ability to breast
feed are maintained.  At the same time or
later, fat transfers can be performed if additional volume is desired.  400 cc to 450 cc implants are huge, not stable
and will descend.Best Wishes,Gary Horndeski, M.D.

Keith Hodge, MD · Answer

A high profile implant will give you more upper breast volume when compared to the moderate plus. To help you decide on volume, I would suggest trying on implants with a sports bra so you can visualize your post-op appearance. The crescent lift is optional since you will get a modest lift from the augmentation. Good luck!

Ted Eisenberg, DO, FACOS, FAACS · Answer

Both are good. There is a subtle difference. I recommend you look at pictures of women with similar measurements to you with both implants. My patients tell me that this process helps them determine which is best for them. More seem to choose Moderate Plus over HP.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Jeffrey Thaxton, MD FACS · Answer

Based on your measurements, bra size and photos and your stated goals.  The implants recommended seem too large.  For your size frame a cup size increase is 150 to 200cc, since you are only wanting a cup size or cup size and a half a 200 to 300cc implant would be enough volume.  With the base width of your breast a moderate or moderate plus implant of this volume would have a better match to your breast width. 
You do not have significant ptosis (droopiness), I don't believe a crescent or any other type of lift is needed.  A dual plane augmentation technique can give you a slight lift without any additional scarring.  
Be sure to have a consultation with a surgeon certified by the American Board of Plastic Surgery, any physician certified by any medical board can call themselves "board certified" but will not have the training and experience of a board certified plastic surgeon.
Jeffrey Thaxton, MD FACS
Certified, American Board of Plastic Surgery
Member, ASPS and ASAPS

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High profile or moderate plus? At what volume? (Photo)

Answers (9)

Answer: Choosing the right size and style implant for you

Answer: Choosing the right size and style implant for you

Answer: Breast augmentation implant profile and volume

Answer: Breast augmentation implant profile and volume

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