300 HP or 350 UHP? I’m 5’7 and 116lbs. (photo)

Question

Hi can someone help me I’m booked in for next week and unsure on implants I’m worried in case 300 high profile isn’t enough but then is 350 ultra high going to look really fake on me and stuck on I’m 5’7 116lbs

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
With regards to your specific question, the higher the profile the less "natural" the result. This is an opinion based rule of thumb. However, when considering that higher profiles deliver greater volume on a smaller frame, it is counterintuitive to suggest that a smaller framed individual would "naturally" be very large.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan.
As always, discuss your concerns with a board certified plastic surgeon.

Daniel Barrett, MD · Answer

Dear Surraya1,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

John L. Burns Jr., MD · Answer

You can do 3D breast implant imaging and see exactly what these implants will look like on you.  The technology allows you to control for both volume and projection.

M. Scott Haydon, MD · Answer

Thank you for your question and the photos. You look to have a very nice shape and good symmetry. I don't every use a UHP in a cosmetic augmetnation (non breast cancer reconstruction). They simply look way too round. The Sientra HSC+ moderate profile is what I use in someone like you. If you are choosing HP vs UHP, I would definitely go HP. Hope this helps. Best of Luck!

Camille Cash, MD · Answer

Implant selection is best done in person with your expert board certified plastic surgeon.  She/He has had the opportunity to discuss your surgical goals with you as well as examine you and take measurements.  I encourage you to return to the office to discuss your concerns.  Many surgeons have sample implants available that you can "try on" to help you get an idea of how you may look after surgery.

300 HP or 350 UHP? I’m 5’7 and 116lbs. (photo)

Answers (8)

Answer: I don't like the UHP

Answer: I don't like the UHP

Answer: Implant selection

Answer: Implant selection

Recommended reading

Everything you need to know about Breast Implants

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

300 HP or 350 UHP? I’m 5’7 and 116lbs. (photo)

Answers (8)

Answer: I don't like the UHP

Answer: I don't like the UHP

Answer: Implant selection

Answer: Implant selection

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

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