What can I expect from extra high profile implants and a 13 BWD? I’m 5 months post op. 5’5 and 140lbs. (Photos)

Question

I’ve heard that XHP implants are used more for women with small bwd but I have a bwd of 13 which I believe is considered kinda big. My surgeon is suggesting 615cc xhp implants for my implant exchange but I’m worried the xhp will give me too much of a fake look. My current implants are 410cc moderate profile but I’m having an exchange because I want more upper pole fullness. Would I expect more cleavage, more side boob, or both from xhp, size and bwd?

Daniel Barrett, MD · Answer

Dear jlow.xoxo,Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Implants are 3
dimensional structures.  Switching from
410 cc to 615 cc will only increase your projection by approximately 15%, which
will probably not be noticeable.  To
achieve the appearance shown in your wish photographs, you will need breast
reshaping, repositioning and possible fat transfers.Best Wishes,Gary Horndeski, M.D.

What can I expect from extra high profile implants and a 13 BWD? I’m 5 months post op. 5’5 and 140lbs. (Photos)

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What can I expect from extra high profile implants and a 13 BWD? I’m 5 months post op. 5’5 and 140lbs. (Photos)

Answers (2)

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.