Is It Possible to Achieve a Natural Looking Tear Drop Shape when Using High Profile Implants?

I think it is best if you listen to your surgeon. Many patients do not understand different profiles, and think a high profile sits high on the chest, which is incorrect. The higher the profile, the smaller the diameter of the implant, so if you have a narrow chest, you will need a higher profile to get a larger volume and keep the implant behind your breast. A moderate plus might be too wide, and not be covered by your natural breast tissue, which would make it more likely to show rippling.

In choosing a profile for your breast implant, a PS might recommend either Moderate Plus or High Profile. The recommendation is based on your chest and breast measurements. As breast implants get larger in size, they get wider. For a larger volume, I often recommend switching to a narrower breast implant. This would be the case in a situation where a patient wants a bigger volume than recommended and the breast implant chosen would likely create too much fullness on the side or a "side breast" with Moderate Plus. Other factors can also increase or decrease the likelihood of achieving a "natural" looking result, like your overall general shape, skin elasticity, and breast volume. Bigger implants with higher profiles tend to look fuller at the top, but not in all cases. Refer to your PS recommendations and best of luck!

Hello,

You are at a crossroad in the decision making process.  You 'had it in your head' about what size (and profile) you wanted, but without the benefit of the expertise of a plastic surgeon's examination.  If you are looking for a very gentle slope to the upper pole, then you and your surgeon should talk about the flattest profile possible in an implant whose diameter best fits your chest wall, and ignore the volume.

Most surgeons have been bullied into accommodating women's size request while still trying to adhere to some part of dimensional planning, so they often recommend a high profile implant in an attempt to satisfy both. However, this can lead to significant problems, some that will necessitate a reoperation.

Don't push this surgeon into a corner, or go to another that cares not, and will give you exactly what you ask for so you don't walk out his door too.  Please understand that breast augmentation has limitations.

Best of luck!