5'5, 127lbs, help determine size, placement profile & understanding cohesiveness rating for Natrelle?

For a more natural look it is typically recommended to select submuscular placement. This will conceal the upper portion of the implant as well as lowering risk of capsular contracture. Patients are able to resume a regular exercise routine once fully healed from surgery. It's difficult to suggest a specific implant without examining you. A moderate or moderate plus implant will provide better upper pole fullness if that is a goal for you. Often surgeons will have sample implants in the office that you can "try on" to help you get a feel for how you may look after surgery.

Thank you for your question. I am sorry for the confusion you experienced in your previous consults. This process should not cause confusion or alarm. To answer your question properly requires an examination, if you seek a specific answer. This may help to explain. Your breast base width largely determines the general category of volume for each different type of implant, ranging from low profile to ultra high profile. However, your unique tissue cover might dictate whether or not a submuscular placement is preferred. This generally has to do with the amount of upper pole soft tissue cover. Athletic, fit persons such as yourself generally choose this option. Also, I would recommend a more projected implant (high) with a slightly higher volume range, based on what is observed in your photo. This is likely to be more aesthetically pleasing for your frame. In any case, I would use a well-validated, published tool, the Tissue Based Approach for choosing the proper selection of appropriate implants. Most experienced breast surgeons use some version of this during their evaluations and explanations to patients. As one could observe, an overly large implant or one too small can be conspicuous and problematic. For example, an overly large implant can stretch the overlying tissue and cause the implant to displace. Ultimately, a thorough evaluation by a board certified Plastic Surgeon will help determine the best personalized plan to reach your goals. I hope this helps.