What will overfilling moderate profile implants make them look like? (Flat and wider, or narrower and more projected?)

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

Hello,
Implant profile alone will not ensure desired goals without looking at volume of implant too. Overfilling saline implants will cause a narrowing of their diameter and an increase in their projection, regardless of their stated profile.  This is because of the unique geometric qualities of a sphere: it has the smallest surface area for its given volume compared to any 3D shape. So the more you fill a bag, the more it becomes a ball, turning a wider, flatter moderate profile device into a HP device.. Additionally, overfilled saline implants become harder and actually develop more rippling, not less. You should stick to silicone gel and go visit a few ABPS certified/ASAPS member surgeons. Best of luck!

The more a saline implant is filled, the smaller the width or diameter becomes, and the greater the projection. A 650 cc implant is fairly large. I would think that a moderate plus implant of that volume will be wide enough for virtually any chest wall, providing you with nice cleavage. Please discuss this with a board certified plastic surgeon who has examined you in person. Good luck!

Thank you for your question. I would make sure that you are seeing a board certified plastic surgeon as I completely disagree with his assessment regarding the implants. Think of the saline implant like a water balloon. When you overfill a balloon, what happens to it? It becomes more circular, right? So as you over fill a saline implant that is moderate profile, you will decrease the width of the implant and increase the projection (as the implant becomes more spherical). If you are looking for more upper pole fullness, then you are looking to maximize the width of your implant for your chest width, so creating a more projected implant will not help to achieve this goal. You would be better off choosing a wider implant (as long as the width does not exceed your breast width) with a lower profile. The other issue to discuss is the choice of implant. Overfilled saline implants tend to be very hard and unnatural and have more rippling that silicone implants. If you are looking for an unnatural and hard breast, then your choice might be valid, but if you are looking for a natural result, I would suggest you discuss round cohesive gel implants with your plastic surgeon. You can get the benefits of a firmer silicone implant with more cohesive gel. Hope this helps!

Great question. Implants are designed to be filled within a specific range to give the best combination of width, projection, smooth contour, feel and minimize rippling. Purposefully filling saline implants beyond the recommended range is generally not recommended since there are other implants that can be selected to better achieve your desired results within their designed ranges. If you're looking for more upper pole fullness without loosing too much width, you should definitely consider moderate plus implants instead. However, the most important thing you need to do is have a thorough discussion with your board certified or board eligible plastic surgeon and clearly and honestly relay your goals and expectations so you two are completely on the same page and can make the best implant and technique choice for you. 

Thank you for sharing your question. In general as you overfill saline implants they will have a higher projection and more narrow base width diameter.  Essentially they would start resembling a high profile implant.  Hope this helps.

Implant profile variations will alter the dimensions of the implant. For a given volume, as one moves upward in profile the device footprint or base width will narrow and projection will increase. That being said, saline implants are typically overfilled in order to avoid rippling. As the device is overfilled, width decreases and projection increases (slightly) i.e. similar to a higher profile device.With regards to your concern of a "gap," it is important to remember that the spacing is not defined by the implant but rather your anatomy. When placed in the submuscular plane, an implant can only move as far to the midline as the muscle will allow (there is more leeway when placed subglandular but greater risk of over-dissection). Thus widely spaced breasts will yield widely spaced implants. Profile can't change anatomy.In the absence of photos or measures, it is difficult to offer any reliable advice. However, in my practice, most patients will fit into the moderate (+) profile category. Additionally, all saline devices should be maximally filled to avoid rippling and subsequent device failure, thus a moderate (+) profile device which is "overfilled" will mimic a slightly higher profile device.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

It is recommended that you consult with a certified plastic surgeon and determine the size, volume and type of implant that suits your figure, it all depends on what your expectations are and agree to what your surgeon tells you Make a final decision.you can opt for silicone implants because they give more firmness and greater volume, these can be of two types:



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.


I Wish You Good Luck!Certified, Medical Research Institute of Plastic Surgery in Sao Bernardo do Campo, Sao Paulo, Brazil.

Hi and thanks for the question. Saline implants come in moderate and high profile types. There are quite a lot of base diameters available to fit most chest wall widths in both projections. In general as you over fill an implant the base becomes narrower and the implant becomes fuller and rounder.  If you go over the manufacturers range of fill you void the warranty. Overfilling an implant makes the implants more firm and at least temporarily makes the implants wrinkle less. These may be reasons to over fill an implant. Consider the use of silicone implants that also come in low profile. If the profile is what  holding you back, which may be the case, as to get a wider based implant the over all size may be too big for yourparticular desired result. Also consider looking at other manufacturers as  the deminsions vary.  Good luck

There afre several ways to get the fake look-either with overfilled saline implants, custom XL silicone implants or XL tissue custom expanders.It depends really on what cc size to want to get.
You can think of a saline implant as a balloon. The manufacturer recommends an overfill of about 20cc but they have been shown to be able to be filled much more than that. They do start loosing their shape and can significantly distort the appearance of your breasts. 
 I do overfill espcially since the FDA has restricted saline and silicone implants to a maximum saline shell size of 800cc and maximum silicone size of 800cc. I do not know why that number was picked arbitrarily. 
So, I do do breast reconstructions greater than that with XL tissue expanders which do pride a greater diameter and projection and upper pole fullness and allow the size to be adjusted either up or down. Also, the shell of the saline implants are very thin and can dreflate more easily. You may want to visit my site below which explains everything, esp for XL sizes which is my specialty, either initially or revisional surgery.