HP or M+ profiles? PS suggested 375 M+ but I keep seeing nice HP on girls similar to me. Help (photo)

Thank you for your pictures and questions. First off, I would suggest you temper some of your expectations. You have a different starting point than presumably most of the people in your goal photos. You have very wide sternal spacing with laterally displaced nipple position and significant ptosis (drooping) of the breast. This all needs to be taken into account when planning your operation. The Mod+ vs High profile discussion will mostly be determined by your base width measurements and the volume improvement you are trying to achieve. The Mod+ implant might fill out your base diameter better for the chosen volume and thus why your surgeon is choosing that. A very narrow high profile implant might make your sternal spacing appear wider. You need to discuss with your chosen surgeon whether or not you need a lift to achieve your goals and make absolutely sure you surgeon is board certified by the American Board of Plastic Surgery and accept nothing less.Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. or the type of implant. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative visit will help you and your surgeon choose the optimal implant.
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California