I’m booked in for my breast augmentation in 2 weeks time. I am still unsure as to whether I went high profile or ultra high? My main concerns with my breasts are a) the wide gap (which I know there isn’t much that can be done to correct that) and b) the emptyness/sagging at the top of my breasts so which would give me the most fullest looking cleavage? Thanks
Answer: High profile implants Dear alicemay92,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
Helpful 1 person found this helpful
Answer: High profile implants Dear alicemay92,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
Helpful 1 person found this helpful
September 14, 2018
Answer: Would high profile or ultra high give me the fullest looking cleavage? hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant high profile in your case for best result you can apply for position sub glandular .answering your question its not depend of the implant its depend of the skin.its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.
Helpful 1 person found this helpful
September 14, 2018
Answer: Would high profile or ultra high give me the fullest looking cleavage? hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant high profile in your case for best result you can apply for position sub glandular .answering your question its not depend of the implant its depend of the skin.its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.
Helpful 1 person found this helpful
September 13, 2018
Answer: Implant profile irrelevant Implants alone will not give you the cleavage you desire. You need a simultaneous lift and the technique I recommend is a modified Benelli. Using a circumareola incision, 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 and the ability to breast feed are maintained. At the same time or later, implants are placed retro-pectoral. Aligning the nipple, breast tissue and implant will give maximum projection with smaller implants, which are mechanically more stable. Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
September 13, 2018
Answer: Implant profile irrelevant Implants alone will not give you the cleavage you desire. You need a simultaneous lift and the technique I recommend is a modified Benelli. Using a circumareola incision, 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 and the ability to breast feed are maintained. At the same time or later, implants are placed retro-pectoral. Aligning the nipple, breast tissue and implant will give maximum projection with smaller implants, which are mechanically more stable. Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
September 13, 2018
Answer: Breast augmentation Hello and thank you for your question. You are a great candidate for a breast augmentation. You have a wide chest wall. It will be important to select an implant which will fill out the diameter of your chest wall and breasts. Ultra high and high profile have smaller diameters than for example moderate profile plus. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
September 13, 2018
Answer: Breast augmentation Hello and thank you for your question. You are a great candidate for a breast augmentation. You have a wide chest wall. It will be important to select an implant which will fill out the diameter of your chest wall and breasts. Ultra high and high profile have smaller diameters than for example moderate profile plus. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
September 13, 2018
Answer: Thank you for your questions. As some of my colleagues have already suggested, your best answers are going to come from further discussion with your plastic surgeon, which I would encourage you to have as long as you remain uncertain. Your role should not be to decide if you need a high profile or ultra high profile implant. It is not quite as simple as that in terms of achieving the "best cleavage". Allow me to suggest that you want the best possible overall outcome, not necessarily the best cleavage, or the largest breasts. Aesthetics play an important role and your sense of aesthetics needs to align with that of your plastic surgeon's. but the single most important mode of communication between you and your plastic surgeon is the use of images of what you consider to be your ideal or favorite. You are correct that there are certain anatomic limitations based on your own starting anatomy, but you would be surprised how much can indeed be accomplished with a well planned and expertly performed breast augmentation. The "fullness" of your breasts can be accomplished with many different implant sizes. The secret to a successful outcome is a happy patient, and this is most likely to be accomplished with adequate communication between the patient and her surgeon. As a rule, the greater your projection, the narrower the base width or diameter of your implants, which means that your breasts can still look far apart, yet be highly projecting. This generally results in a very fake look, which most women wish to avoid. Yet words like "natural" and "proportionate" and "pretty" and "sexy" can mean different things to different people. Again, photographs are far more objective than language, which can be very subjective. Best of luck to you.
Helpful 1 person found this helpful
September 13, 2018
Answer: Thank you for your questions. As some of my colleagues have already suggested, your best answers are going to come from further discussion with your plastic surgeon, which I would encourage you to have as long as you remain uncertain. Your role should not be to decide if you need a high profile or ultra high profile implant. It is not quite as simple as that in terms of achieving the "best cleavage". Allow me to suggest that you want the best possible overall outcome, not necessarily the best cleavage, or the largest breasts. Aesthetics play an important role and your sense of aesthetics needs to align with that of your plastic surgeon's. but the single most important mode of communication between you and your plastic surgeon is the use of images of what you consider to be your ideal or favorite. You are correct that there are certain anatomic limitations based on your own starting anatomy, but you would be surprised how much can indeed be accomplished with a well planned and expertly performed breast augmentation. The "fullness" of your breasts can be accomplished with many different implant sizes. The secret to a successful outcome is a happy patient, and this is most likely to be accomplished with adequate communication between the patient and her surgeon. As a rule, the greater your projection, the narrower the base width or diameter of your implants, which means that your breasts can still look far apart, yet be highly projecting. This generally results in a very fake look, which most women wish to avoid. Yet words like "natural" and "proportionate" and "pretty" and "sexy" can mean different things to different people. Again, photographs are far more objective than language, which can be very subjective. Best of luck to you.
Helpful 1 person found this helpful