If I have mild tuberous breasts, will it be possible to have ultra high profile implants?

Thanks for your question and the photos. While I agree that you have a lower pole constriction, the shape doesn't appear tuberous. That said, the implant that is chosen needs to span the width of the breast from medial to lateral and this is what the base diameter measures. Let's say you are 13 or 13.5cm. The implant diameter is chosen and then the appropriate profile. You would be much better off using a lower or moderate plus profile because of your shape. I personally prefer using the Memory Shape implant in this type of scenario b/c I can lower the fold and the implant has the ability to push out on the lower pole better. Yours is not straightforward and you really need to find an experienced surgeon. Find a Board Certified Plastic Surgeon in your area that is an ASAPS member and specializes in cosmetic breast surgery. The Smart Beauty Guide is an excellent resource. Best of Luck!

Hello,You certainly can get them, as there are so many doctors willing to give you anything you want, despite the potential for complications and re-operations. You don't have a tubular breast, but you don't have ideal aesthetics either. Contrary to what you may believe based on what you've been told or seen, high profile implants do NOT increase the potential for a larger implant. That belief illustrates the misunderstanding of biodimensional analysis necessary to determine anatomic capacity. Go visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery. Best of luck!

Thank you for your question.  There is no reason that you cannot use ultra high profile implants.  The goal of using this type of implant would be have a more round and defined-appearing breast.  Based on your anatomy, you will definitely need a donut mastopexy (lift). You should be able to have an excellent result with an experienced board certified plastic surgeon.  Best wishes to you.

You appear to have a common form of tuberous breasts in which the diameter measured horizontally is longer then the vertical dimension, because of the short distance from nipple to fold. Another way to say this is that the base of your breast is an oval rather than a circle. A UHP round implant will not be wide enough to give you good cleavage but may appear to sit too high because the fold cannot be lowered enough to center the implant behind the nipple. A for-stable implant with an oval base fits the shape of this type of breast very well.

Dear Malaealee,Thanks for posting your pictures. From observing your pictures, you appear to have moderate (not mild) tuberous breasts - herniating areolas, level 1-2 ptosis and constricted lower pole. Your cup size appear small A and left breast is bigger than right breast.   I have been in practice for 30 years and operated on hundreds of tuberous breasts patients. The optimal procedure for your condition  is breasts augmentation with mini lift (donut, Benneli) and you do not need high profile implants. I used, almost exclusively , smooth, round, moderate profile saline implants to the delight of my patients (check reviews and photo gallery).  The sub areola entry  incision  technique is the best and most consistent for obtaining nice cleavage and precise fold, because the pocket dissection  can be done under direct vision and feel. The sub mammary incision is too far.  As far as implants' size, you did not provide your chest circumference measurement in inches, which is critical for the correct implants size selection. Let's assume that you are, currently,  34 small A cup size, 375-400 cc implants will get you to 34 C cup size.    You have to realize that not all results are the same, especially, tuberous breasts, because experience, technical skills and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely, to avoid bad result and need for corrective surgery, which will double the cost of surgery and recovery time.    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation with mini lift in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical, nice peri areolar scar and natural look.                            Best of luck,                                                 Dr Widder   

Dear malaealee,Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

I think its a mistake to focus on the specific implant shape or size.  Once you have found a Board Certified Plastic Surgeon that you feel comfortable with, the doctor can help guide your thinking. But please let your surgeon choose the implant tat will work best with your body.

Based on the limited photographs submitted:  
The left breast is larger in size than the rightThe left nipple sits lower on the chest wall than the rightThe right inframammary crease is higher than the leftBoth breasts have a high crease (the nipple to inframammary crease distance is too short)The base diameter of both breasts is wideThe cleavage gap is wideIn my opinion, to address the above concerns an asymmetric reshaping procedure in addition to breast implants is needed.  A wide based implant is necessary to achieve a nice aesthetic breast, the worst choice would be a narrow based implant (an ultra high implant).  I would prefer a moderate plus or high profile silicone implant through a concentric incision and probably on top of the muscle to eliminate the possibility of a double bubble deformity.  The size around 400 cc would be fine.
Please see a Board Certified Plastic Surgeon who specializes in breast implant surgery to assure the best possible result.
Good Luck!

You should be deciding the size on your implants in conjunction with your surgeon.  It is not a decision you should be making alone.  I would use your breast base as a starting point for choosing which implants would suit you best and then the profile would be chosen depending on the overall size that you wished. I think that you would have a very good result with either high or ultra high profile, as long as the correct size implant for your chest size is chosen.  Return back to discuss your wishes with your surgeon. All the best

The profile of the implant really depend s upon your anatomy and your goals of surgery.  Best to be seen in person.