Want fuller breasts yet not necessarily bigger. Where can I find low profile breast implants?

Question

I like little perky breasts. My breasts are low and far apart and weird looking. It's like I'm flat chested from the top and boobs form to low. I want them to be higher, closer together, and fuller. One size bigger at most. I do not want big boobs. Do I need low profile implants? Moderate profile implants? What do I need to accomplish this? Also I had areole reduction before. Is scar reduction an option? Or is the scar I have as good as it gets?

Gerald Minniti, MD, FACS · Answer

Hello,Your areolar reduction scars are apparent, however you may actually need a true lift to achieve your goals.  The good news is that a proper lift (with or without an implant too), performed by an ABPS certified/ASAPS member surgeon who specializes in breast surgery will leave much less conspicuous scaring. Best of luck!

Eric Schaffer, MD, FACS · Answer

To get upper breast fullness an implant would be necessary.  The profile will be determined by your Plastic Surgeon depending on your measurements.  As for the breast being low, a breast lift will reposition the areolas in the middle of the implant giving you a nice result.  Good luck.

Andres Taleisnik, MD · Answer

If you want your breasts to look more perky, without making them much bigger, then you'd need a lift with small implants. Without a lift, they won't be perky no matter what size or profile of implants are used. As part of the lift, the areolar scars can be revised, and likely improved. Your breasts would be a LITTLE larger, since an implant would be added, but the implant could be fairly small if a lift is also done. 
In terms of the profile of the implant, this is a decision that would really be made by your surgeon, not by you as the patient. The differences are generally fairly small, but can be important, and the reasons for the selection of high vs. moderate vs. low profile implants can be technical. Be careful what you read! A high profile implant doesn't mean that your breasts will be higher or more full in the upper poles. Indeed, a higher profile implant is narrower in diameter, meaning that it may not provide as narrow of a cleavage, or side or upper fullness, as a wider implant such as a moderate plus. Discuss this with your surgeon, but definitely consider a breast lift. Good luck!

Urmen Desai, MD, MPH, FACS · Answer

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) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Farbod Esmailian, MD · Answer

A detailed exam in person with measurements will help determine what can and can not be achievable.  There are numerous difference types of implants and profiles.  The profile generally changes the look one gets in the upper pole.  If you want them higher and you don't like how flat you are in the top, then a lower profile implant would not be what you would want.  You would likely need a more projecting and a higher profile implant to achieve the desired look.You would likely also need a mastopexy to like up the breast and the nipple and areola, at the same time a revision of the scars can be performed.Please contact a board certified plastic surgeon to discuss your surgical options.

Manuel Ventura Gonzalez, MD · Answer

Hello NaomiThe type and size of implants that you want to obtain will determine you with the plastic surgeon of your choice, that according to your figure you will be told which implants fit your body well, the shape can be tear or round, Your surgeon will recommend.
  
The teardrop-shaped implants are contoured and considered more anatomical. They are shaped like a natural sinus and create an inclination when placed over the chest muscles. Although these are more natural looking breast implants, you will need an experienced plastic surgeon to ensure they are properly positioned.
  
Round breast implants are used to give women a "Victoria Secret" appearance. Round implants are the most common breast implants as they provide a fuller and fuller look as well as a better cleavage. Certain types of round implants can also improve breast projection. However, some women feel that round implants look too artificial.
  
Always To Serve You, Dr. Manuel Ventura 
  
Certified, Medical Research Institute of Plastic Surgery in Sao Bernardo do Campo, Sao Paulo, Brazil.

Johnson C. Lee, MD · Answer

Thank you for your photos. It is best to have an in-office evaluation so that careful measurements can be taken to determine the best size implant for your chest diameter, several upper body measurements, and current breast tissue. Once you have the measurements, they are all put together to determine the right implant from the right manufacturer. Breast implants of the same cc's can look and feel extremely different depending on the profile and material. We allow our patients to try on sample implants of different profiles, shapes, and volume so they can make a more informed decision. Your areolar scars appear to have residual areolar pigmentation on the outside margins of the scar. This can be revised at the same time with a lift to remove the extra pigment for a better camoflauged scar and to place the nipples in a more youthful position. Hope this helps!
Johnson C. Lee, MD Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

You need to have a consultation by a board certified plastic surgeon who will measure your breasts and choose the ideal implant size and style to get you the look you are seeking.

Jon A. Perlman, MD (retired) · Answer

Your goal of fuller but not larger breasts is unachievable without a combination of a mastopexy (with scar revisions) and placement of a mid+ or hp implant.  This combines added volume with skin reduction to give you less ptosis and more fullness.  Meet with an ABPS Bd Certified plastic surgeon for a face to face consultation and discussion of your goals and options.  Enjoy the attached video.Jon A Perlman MD FACS 
  
Certified, Am Board of Plastic Surgery 
  
Member, Am. Society for Aesthetic Plastic Surgery (ASAPS) 
  
Member, Am. Society of Plastic Surgeons (ASPS)
  
Beverly Hills, Ca

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