Need Advice: Wide Chest, Sagging Tissue, Want Fullness Without Huge Size. What size and profile should I choose? (Photos)

Question

I’m looking for a little guidance on how to reach my goal. I’m 5’3”, 145lbs, 36C, and had a breast reduction back in 2021. After some weight fluctuations, this is where things stand today. I really want to remove the sagging tissue under my nipples and add an implant to get that upper pole fullness. The way I’m cupping my breasts in the photo is exactly the look I’m going for. I’ve had a few consultations, but everyone’s telling me something different and I’m feeling a little lost: • Consult #1: Sientra High Profile 225cc • Consult #2: Moderate Plus 150cc (feels too small since my BWD is 13.6) • Consult #3: (pics attached) Mentor Moderate Profile 345cc or High Profile 335cc — I like the roundness of the HP but they look too big for me.

Zoran Potparic, MD · Answer

There are several ways to help your search to achieve desired look and size. You have obviously gone through that process and learned something. This is entirely your decision. It is “the most difficult decision to make” but most patients, in our experience, are happy with selection they make based on their own instincts. Good luck.

Brian K. Reedy, MD · Answer

Thanks for your question! I'm not seeing the photo where you are cupping your breasts, so it's hard to give you an exact answer. You can go to 5 more consults and get 5 more different opinions. Everyone has a reason for what they recommend. You should go with your gut and the approach that works best for you. Make sure to look at B&A photos of each surgeon you see to ensure you like the work you'd be getting. Good luck!

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Darryl J. Blinski, MD · Answer

The post photos are not actual photos that aren’t computer generated. Please repost actual photos and also the photo of you copying the breast to show the elevation effect. Otherwise the option for a high profile implants seems to be best. Might increase size to a 400 cc range again best of virtual consult with Expect fee fees to range from $8000-$12,000

Mats Hagstrom, MD (license on probation) · Answer

I don’t like using computer simulation or morphing programs.
I find the best way to get an understanding of what your results are likely to look like and also to vet providers is to review as many before and after pictures as possible.
Bring pictures of yourself to use as a reference during the consultations.
Always schedule consultations as in person consultations not as virtual consultations.
 During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar breast characteristics.
This will give you the best idea of what you results are likely to look like and how much skill and experience each provider has.
Highly experience providers should have no shortage of examples for you to look at.
 The goal is to find out what average results look like not what the best results of a providers career look like.
Insist that they show you lots of examples.
An experience provider should have no difficulty showing you 10-20 examples of previous patients. 
Each provider will have their own way of guiding patients through the implant selection process.
Some providers will ask the patient to choose. The implant other providers will make the decision based on input from the patient.
My personal approach has been to work with before and after pictures until I have a good understanding what the patient is hoping to achieve.
 I bring those pictures with me to the operating room and use them as reference.
During surgery, I use temporary implant sizes to determine what size and shape implant will give the desired outcome. I typically have a full selection of implants available to me during surgery. This requires maintaining an implant inventory or to be willing to ship back implants, not used to the manufacturer.
I found this to be the most accurate.
Each provider will have their own way of doing this.
Some do it better than others.
Best,
Mats Hagstrom MD

Need Advice: Wide Chest, Sagging Tissue, Want Fullness Without Huge Size. What size and profile should I choose? (Photos)

Answers (5)

Answer: Status post progress breast reduction, desire, more upper pole, fullness, and possible

Answer: Status post progress breast reduction, desire, more upper pole, fullness, and possible

Answer: Getting the results you want

Answer: Getting the results you want

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Need Advice: Wide Chest, Sagging Tissue, Want Fullness Without Huge Size. What size and profile should I choose? (Photos)

Answers (5)

Answer: Status post progress breast reduction, desire, more upper pole, fullness, and possible

Answer: Status post progress breast reduction, desire, more upper pole, fullness, and possible

Answer: Getting the results you want

Answer: Getting the results you want

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.