Should I choose moderate plus or high profile round silicone? (Photo)

There is a great deal of confusion about both implant selection and style.  It's awesome you saw a surgeon who uses Vectra...It has changed my practice, patient education and improved my outcomes.  I believe the principles are:*Choose an implant that is equal to the base width or up to 1cm less...If your Breast Base Width is 13 I would choose an implant range of 12-13cm*Choose the projection, Moderate vs. Full based on your goals and outcome desired...the same base width can add 75-100cc or more in projection depending on the style and shape...If you want more volume and are looking for a rounder upper pole would go with a Higher profile...if straighter more tapered upper pole and worried about being too big...stick with MP*Good idea to stay under 4oocc...the bigger the device the higher the complications particularly for stretch and malposition...which means another operation*About 2ooccs is one bra cup so an implant of ~400ccs adds about 2 cups*The differences between implants is typically 30-40ccs sometimes less...which is only 2 Tablespoons ...so don't beat yourself up over something you may not be able to see a difference anywayHope this is helpful!All my Best!Dr Bengtson

Thank you for your question and photos.  The challenge is definitely trying to figure out what you will look like after surgery before it even happens.  Tools such as the 3D images are useful, but as you can tell, there are pros and cons to what you see in both.  From a personal standpoint, either of the choices would not be a mistake based on the images.  Please make sure that your surgeon knows that your desire is to have a natural, full look.All the best,Dr. ResultsMiami, FL

In my experience, high profile gives more cleavage up top and more of a done look.  The moderate profile gives a more natural look.Take a couple ziplock bags and use rice to fill them with
the amount of volume that will be in your breast implant. You can use regular kitchen measuring cups to
do this. Then take it to the bra store
and try on different bras with the bags stuffed in. This will give you a cheap and easy way to
know what size bra you will fill out after the surgery.

Sheila Nazarian, MD

Beverly Hills

It's often difficult to decide between 2 fairly similar implant sizes/profiles. A compromise for you might be to go with the ~385cc but in a mod+ profile? But also remember that most women wish they had gone a little bigger! Here at plasticsurgeryoahu we tell our patients to go with their gut instincts and they'll sleep better and enjoy a great result! 

Thank you for your question about breast implants.In general, it is usually best to go with the breast implants that fit your breast base width diameter.To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.

You appear to be on the right path.  It looks like you have gotten a quality assessment form a board ceritfied plastic surgeon who is recommending 385 HP implants.  Given your measurements and photos and your inspiration photos 350-400 high profile implants should work wonderfully.  Try on sizers and see what volume you like best.  You will have a great result.Best,Jeremiah Redstone MD

Did you try on the 400 cc?  If you liked the look of the 400 on you then I would go with that.  The difference between the two implants you have mentioned is very little.  I think that with your width and the natural result you are going for I would stick with the 400 MP.  I would bet that if you had one in one side and one in the other it would be hard to tell a difference!Good Luck  

You are trying to decide between two breast implants that really have negligible differences. Between the 15cc differences between the implants (less than 4% in volume) and a half centimeter in implant diameter, they both will probably look the same in you once implanted. Between these two implants there is no really no wrong selection.

Thank you for the question and pictures. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. I also think that your goal photographs are realistic. Everything considered, I would recommend the use of silicone gel breast implants placed in the sub muscular (dual plane) position.  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant type/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. In bra sizers can be useful communication tools also. I have found that the use of words such as “natural” or "C or D cup" or "complement my body" etc may mean different things to different people and therefore prove unhelpful.Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during the communication process.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 for an outcome that you will be very pleased with.

You should be able to have an excellent result. Based on your desired photo (375cc) and your breast base width of 13 the 375cc moderate profile plus is the recommended size. High profile in some patients looks less natural.For more information on high profile compared to moderate plus please read the following link: