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

Great question!  Implant selection can be a tricky thing.  It is important to pick an implant that is close to the width of your breast, otherwise it can look too wide or too narrow  The higher the profile of implant, the more narrow the implant will look and provides more fullness and roundness to the upper breast.  If you want a more natural look the M+ would probably be the best.  However, looking at your wish photos, it seems like you want more of an exaggerated look as these these photos you can tell they have had an augmentation done.  Therefore I would say you may want to go with the HP.   However, depending on your chest width, you may need to go bigger in cc with the implant so that it fills the entire breast as HP implants are more narrow than M+
Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Your breasts are too low and too far apart.  The technique I recommend is a modified Benelli lift.  Using a circumareola approach, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  Through the same incision, small implants can be placed.  Aligning the nipple, breast tissue and implant will give maximum projection with smaller size implants.  Best Wishes,Gary Horndeski, M.D.

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 profile and base diameter of an implant is a very individualized process requiring measurements and a good understanding of where the breats tissues have been (pregnancy, breastfeeding, weigh gain-loss, never very big ?) and where the tissues can go, i.e. how much they can safely stretch.All of this requires an in-person process with the surgeon, "trying on" implants in front of the mirror, and finally ordering a custom suite of implants that fir your body and desired goals.

Dear dreambody1014,
Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thank you for your question. You are a great candidate for a breast augmentation.  375cc moderate profile plus may be a good size for you.  High profile may give less of a natural look.  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.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Thank you for your questionIt is important to realise that so-called 'profiles' are arbitrary classifications that implant manufacturers ascribe to a particular implant for a given volume and breast width. The more accurate term is projection - the absolute distance in cm of the maximum point.It would be a good idea to discuss this with your surgeon in more detail as the volume for a given breast width is the most important factor. 'profile' is just usually a function of volume.As another surgeon has quite correctly commented, it is also important to have realistic expectations in terms of outcome - this is especially dependent upon the starting anatomy of the breast. Do show these pictures to your surgeon so this can be discussed further.Good luck in your journey!

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

Dear Dreambody1014, 
Every plastic surgeon has his or her own technique and preference of implant shape and size.  The type of implant is determined according to the patients measurements and their desired look.  It is always helpful when patients bring in photographs as you have above of their desired results. In reviewing your photographs and the desired cleavage you are looking for you may prefer the high profile implant. This would be determined during the consultation. 
Each patient's "dream" breasts are different and every patient's chest characteristics are different. The more experience your plastic surgeon has the more likely you will have a successful and happy result. 
Best regards, 
Tarek V. Copty, MD FACS
American Board of Surgery 
American Board of Cosmetic Surgery 
Jordanian Board of Plastic & Reconstructive Surgery 
Fellow, American College of Surgeons
Fellow, American Academy of Cosmetic Surgery 
Fellow, International Society of Aesthetic Plastic Surgeons