Should I choose moderate plus or high profile?

If you want a "fake" high round look, you should have expert breast augmentation of an adequate size that yields soft, natural breasts, and then wear a nice push-up bra.High profile (round) implants have the narrowest base diameter (and highest projection) for a given volume choice, but you have to realize that since they are round, they also have the shortest vertical height, and therefore the LEAST upper pole fullness (after your breasts heal and implants eventually drop to their final position).You will get more close cleavage with moderate plus implants, since narrower HP implants will yield a wide gap cleavage that often is considered very unattractive, and those same HP implants that look full initially (until they drop) will have a deficient upper pole because of their shorter vertical diameter (which is the same as their narrow horizontal diameter). So those who tell you that HP implants give "more upper pole fullness" are wrong, at least for identical implant volumes.If you want a larger base, AND fullness, and more to push up to give you the round look, perhaps you really want bigger implants in the widest profile that fits your body (breast base diameter). Then you can have your cake and eat it too, but not if you are "set" on those 325s and choose HP! You are petite and slim, so you probably don't want TOO large, especially if you bring any of your own breast tissue to this surgical "party," but if you have little of your own tissue and want what I think you are describing, perhaps you really do want HP implants in a larger size--closer to 450cc. Work closely with your surgeon and bring goal photographs to your next office consultation. Size and profile should be decided upon BEFORE the day of surgery as many surgeons have to order their implants in advance, and don't have a full stock of implants as we do in our office surgical facility. It would be a shame if they didn't have the ones you really want rather than the ones you think you have decided upon right now. Click on the web reference link below for examples of many of my patients whose pre-op and post-op breast sizes and implant sizes you can compare. Best wishes! Dr. Tholen

Thank you for your question.  This sounds as if you should speak with your doctor about your exact desires and perhaps demonstrate it with a few pictures of your goal appearance.  Moderate profile implants will do a nice job of filling your breast implant pockets but will leave a more natural result than high profile or ultra high profile implants. You may also want to consider one of the more higher fill silicone implants made by Sientra or Allergan Inspira.  Hope this helps.

If you are looking for a more rounded breast appearance, then a high profile (HP) or ultra high profile (UHP) is the best option.  Even with a silicone HP, the breasts can still look somewhat natural.  In your case, you may want to discuss the UHP implant with your surgeon.  Perhaps another consultation or two would help you clarify exactly what will work best for your frame and your goals.  I hope this helps.

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. As implant size goes up, the natural amount of breast tissue you have goes down, and the less natural a result you will get. One technique to have a more 'natural' result while still having a large augmentation is to use shaped implants. That being said, this relationship still holds and with bigger implants the final result tends to be more 'sculpted' or 'augmented' and more obvious or easier to identify even when in clothes. Choosing an implant is a complex process.  You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

To get the most fullness in the upper pole of the breast, a high profile implant should be used. But be aware there is more to the shape of a breast augmentation result than just the implant's profile. The size of the breast implant and your chest size and breast tissue tightness all play a role in creating the final breast shape after augmentation.