High Profile or Moderate Plus Profile Silicone for Narrow Chest?

Best Advice: find the best plastic surgeon available and communicate clearly what you would like to look like. It is very difficult to determine the exact size and profile shape 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 the below link.

You concerns are appropriate.  On one hand if you have a narrow chest you are limited to narrower implants.  Thus a high profile implant would give you more volume while maintaining a narrower width compared to a moderate profile implant.  This allows more volume without being too wide.  On the other hand a higher profile implant, with its more dramatic projection, is more likely to create a tight, fake look.  Your best option is to try on both a high profile and moderate profile implants and decide what look you like better when you look into a mirror.  Alternatively you can get a 3D scan to simulate what you would look like.  In my opinion, however, using and feel actual sample implants will give you a better feel for what you are getting into.

Sincerely,

Martin Jugenburg, MD

You are right, that choice of implants is based on measurements, your anatomy, breast base width, tissue elasticity, breast volume. You state that you are flat chested with NO breast tissue and you do not want "a tight and fake look". Personally, without the benefits of photos, I would recommend a low to moderate profile implant to give you a more natural look.