I'm supposed to be getting 460cc saline mentor implants, my question is do I get high profile or mod plus? (photos)

It is very difficult to determine the exact size and shape #MentorSaline implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in a bit.By the way, if you are considering saline implants, you should probably consider the IDEAL implant which is now available and FDA approved (see link)#BestMentorImplantSize#BestMentorImplantShape

Thanks for your posting. In order to select implants, BWD and other breast characteristics like skin tone and tissue thickness are all considered, so a proper evaluation is required. If you're uncertain about your implant profile it would be best to discuss this with your surgery and perhaps even have another appointment.

Hello beautyq90. Thanks for your question and photos. Here are my rules for sizing and fitting breast implants.1) My philosophy includes guiding patients to explore reasonable options for breast implant size, usually two to three similar sizes, which allows the patient to visualize how different volumes affect their breast cup. 2) The best guide for a final breast implant size and shape recommendation is derived using measurements from the patient’s own breasts and chest. 3) When measurements are considered then options for sizes can be presented. 4) I use the Mentor Volume Sizing System of breast sizers to demonstrate how these different volumes will look on a patient’s body. 5) This methods offers good reliability and is simple to use, but is not perfect.The measurement of the breast width will help to guide HP versus moderate +. Ask your PS to review this number with you and discuss your options and expected outcomes. Best wishes, Dr. ALDO.

It's important the patient may clear the ultimate volume for the breast augmentation. There good sizing systems to do this. Choice of profile are shape is a judgment call by the plastic surgeon depending on the anatomy of the patient's chest.

I think the 460 cc range will look very nice based on what you have provided.   In terms of size, It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Thank you for your question and posting an appropriate picture. You seem to be a good candidate for breast augmentation and the size you have mentioned will likely fill your breast envelope. You may need revision of your prior breast lift procedure at the same time.  Breast of luck. 

It is difficult to say what implant will be right for you without an exam. I will say that you will likely need a revision of your lift as well.

As you may know, the projection of a particular breast implant is a measurement of how tall is it when placed on a flat surface or how far from the chest wall it protrudes when it is surgically positioned for breast augmentation.  Breast implants come in different profiles, depending on the ratio of their height to base width.  A high profile implant has a high height to base width ratio.  A low profile implant has a low height to base width ratio.  Moderate profile (also called "moderate-plus" by Mentor) implants are in between.  Also, the absolute size of the implant can affect it's projection as well as it's base width.  When selecting an implant, it is critical to know the dimensions of the patient's chest and breasts and what size implant is desired.  It then becomes easier to select the best implant for the desired results.  Your plastic surgeon probably knows your chest and breast measurements.  He is the best person to guide you in the selection of your implants.  Best of luck!

Thank you for the question and picture.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
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 or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

Your photo shows what looks like you had a lift or a reduction in the past and that your skin elasticity is not good. In these circumstances, it is not like a tight chested patient who can have the high full look with implants. In patients like yourself, the bigger implants tend to settle down and can look matronly if they are too big. Be careful here!