I want implants with lots of upper fullness, but I don't want HP because I want them to be round. What are my options? (Photo)

Question

I want saline implants that are round and have lots of upper fullness. I know HP isn't as round because it has a smaller diameter, but has the most upper fullness. A PS suggested getting (600cc) moderate implants overfilled to 750-800cc to achieve upper fullness. However, I was wondering if moderate plus would be a better option? I've attached pictures I'm really wondering how to achieve those looks (very round, "fake", upper fullness implants). Thank you

Paul E. Chasan, MD, FACS · Answer

Thank you for your question, but I have to disagree with almost every opinion expressed below. To get a round, fake appearance with maximal upper pole fullness, you need to go with an Ultra-High profile implant. The best on the market is the Allergan Inspira line as these are "dome" shaped and are overfilled without shell collapse. That is precisely why you don't want to go with an overfilled saline implant. Saline implants by their nature are less dome shaped and more saucer shaped. As you overfill them they become more saucer shaped lifting the edges off the chest wall and increasing their feel around the perimeter. As you go with larger round implants, the tissues are slightly thinned which increases the feel of the implant and with time, saline implant shells tend to stretch giving more rippling and wrinkling. Often times, I will use an implant significantly wider than the chest base width. As a breast revision specialist and having a significant number of my patients requesting a very round look, I have developed several strategies to achieve that look. I'm sorry for the long reply. Best wishes to you.

Gerald Minniti, MD, FACS · Answer

Hello,
Implants are three dimensional objects. The term 'round' describes a two dimensional shape. Among round devices, low profile are discoid in shape and high profile are spherical, with the intermediate profiles of many names somewhere in between.  The photos you post show relatively spherical breasts.  As for overfilling saline implants, consider that fact that when they are overfilled well beyond their recommended limits they become relatively firm and unyielding.  This will have a profound effect on your breast tissue over time, causing substantial thinning and loss of volume.  Remember this as it will potentially cause significant problems for you later.  Also remember that you are likely in safer hands with an ABPS certified/ASAPS member surgeon who is interested in your safety. Best of 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

Higher profile implants generally look more "fake" because they are more round and more upper pole fullness.  A moderate plus saline implant is a nice implant as it has a wide range of fill volume and can achieve a larger size than a moderate or high profile implant.  A moderate implant tends to be flatter and a very wide implant.  Generally a moderate implant is not used for larger sizes.I would perhaps discuss your options with a board certified plastic surgeon who can examine you in person and discuss what your best option would be.Hope that helps.

Joel M. Stewart, Jr., MD · Answer

If the photos are an indication of the look you want, then very large implants over the muscle is the way to go. 
However, you don't provide any photos of your breasts and the degree of coverage of the implants has a lot to do with whether or not this can be achieved.
Also bear in mind that breasts like the ones in the photos have a very finite lifespan before they are droopy and require revision.
Good luck.

I want implants with lots of upper fullness, but I don't want HP because I want them to be round. What are my options? (Photo)

Answers (9)

Answer: Implant to give Fake Look

Answer: Implant to give Fake Look

Answer: Fake look

Answer: Fake look

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Everything you need to know about Breast Implants

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I want implants with lots of upper fullness, but I don't want HP because I want them to be round. What are my options? (Photo)

Answers (9)

Answer: Implant to give Fake Look

Answer: Implant to give Fake Look

Answer: Fake look

Answer: Fake look

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Recommended reading

Everything you need to know about Breast Implants

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