Smooth Round Moderate vs. Smooth Round Moderate Plus

I agree that there is minimal difference.  There is slightly more projection with the Moderate Profile Plus.  Also, a 50 cc difference is not much.  It is best to go over the different options with your surgeon so that you are well informed before surgery and to make sure the surgeon understands your expectations and concerns.  

 

Good Luck.

Under the muscle placement will procduce a loss of implant projection comparable to losing 10-15% of the volume of the sizer placed over the breast when sizing preoperatively. I prefer the moderate plus for increased projection and less rippling.

Some very interesting responses to your questions.

First, I would have to disagree with the concept that the muscle does not flatten out the implant.  Having placed a good amount of implants over the last ten years, I have consistently seen patients complain that they would have gone with a little larger size if given the chance to do it again.  As such, even though there are certainly many factors that contribute to this, I do believe that the more tissue we place the implant beneath, the smaller it will appear.  As such, I almost always upsize my final implant volume as compared to the size chosen during the initial sizing. 

As for profile, I think this is really more of an issue of base width across your breast.  The earlier implants were simply too wide at larger volumes for most patients.  Now, with the proper choice of profiles, we can tailer the look much better especially in women who are slender and who have relatively narrow chest walls.  This type of patient is extremely common in Colorado given how athletic and fit most women are.  As such, I tend to prefer the High Profile or Moderate Plus Profile implants over the wider Moderate Profile implants.

In the end, this is really a decision that you need to make with your Plastic Surgeon. 

I hope that helps!