Can high profile implants look good on me with previous cone=like shaped breast or is this not advised? (Photos)

Question

I’m having 11 yr. saline implants 500cc that bottomed out from weight loss replaced w/ sientra (355) & there is a lot of revision/work that has to be done due to downsizing including the lift I was told. Can high profile look approp/good on me as I'm wanting upper cleavage & fullness on the bottom or would you advise me moderate plus due to my history of previous conical breasts ? Are HP not advised for patients with my previous shape ?

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Gianfranco Frojo, MD · Answer

I would not recommend a high profile breast implant as you do not truly need the projection and huge implant; you truly need a taller smaller implant. I would also recommend removing or deflating the saline implants prior to the surgery to allow your tissues to rest before the new implant and a breast lift.

Gerald Minniti, MD, FACS · Answer

Although you do not explicitly say this, I'm getting the feeling that you think HP implants will impart more upper pole fullness than moderate or low profile implants. This is incorrect, and is the most misunderstood aspect about implant profile. Implant profile will only do one thing reliably: project the breast tissue. High profile does that more than low profile. What then can give more upper pole fullness? The two things that do this well is implant size, and implant diameter. The diameter or width of the device will determine how high up the chest wall the top of the implant sits, and therefore how much augmentation occurs in the region. The reason you lack upper pole fullness is not because you don't have HP implants, it's because your implants have dropped out (which is more likely with HP implants, but can happen with any implant). As an aside, looking at photos can be deceiving, but it looks like one breast is larger that the other, and specifically one implant looks larger than the other. Only a physical exam would confirm this. Yours is a complex problem, and not for the casual breast implant surgeon. You need to really see a revision breast specialist. A thorough discussion about the situation with your current implants, your feelings of proportion, and a physical examination will help the surgeon make recommendations about implant selection. The surgery should entail a radical resizing of the implant pockets, the use of resorbable mesh to secure the new implants in place, and a formal breast lift.

Wess Cohen, MD · Answer

Thank you for your question. A high profile implant will be fine. Your previous shape should not have an affect, as the shape of your breast has changed with previous surgery. As you will downsize your implant, your skin and the capsule will need to be tightened. Also, for someone that has previously bottomed out, an internal mesh support can be helpful for longer lasting results. Good luck

Daniel Barrett, MD · Answer

Dear hngreen2011,
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

Can high profile implants look good on me with previous cone=like shaped breast or is this not advised? (Photos)

Answers (7)

Answer: Implant revision

Answer: Implant revision

Answer: Implant type

Answer: Implant type

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Everything you need to know about Breast Implant Revision

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Can high profile implants look good on me with previous cone=like shaped breast or is this not advised? (Photos)

Answers (7)

Answer: Implant revision

Answer: Implant revision

Answer: Implant type

Answer: Implant type

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Recommended reading

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.