Doctor suggested 470cc Ultra High Profile, will someone describe what my outcome may be? And info about UHPs? (Photos)

Dear Kahunas,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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your question and the photos. Based on your wish photos and your current size/shape, I think the Higher profile implant is the better choice. It's hard for me to believe you have a base diam of 13.5cm. I'll be honest, I would prefer the Mentor Moderate Plus Xtra b/c I think it gives a better look. The newest UHP is very projecting and round but that may be what you like. My only caution would be don't go too big and have an implant that is so heavy your breast can't handle it. That is a set up for implant malposition, asymmetry and the need for revision.Best of Luck!

The decision of what type and size implant will work best for you can only be made by physical exam. The exam will take into account the size of your breast as well as the amount of skin that needs to be filled. Too little and the skin will still not look filled, too much and other problems can result. This can not be determined by photos. If you are not comfortable with the recommendation talk to your surgeon about your concerns. There are also some simple measurements that can be done at home that will put you in the ballpark on size. This isn't a substitution for a consultation and exam but can give you more information to help with your decision.   

Thank you for your question.  It really depends on the look you want.  According to your photographs, you seem to want a round, full look, and 470cc UHP will certainly give you  that look.  My suggestion is to try on sample implants to get an idea of how it will look.  In my experience, that is the way to determine the best implant size for you.

Thank you for the question and pictures.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  I also think that your goal photograph is realistic understanding of course that goal photographs are communication tools not guarantees of exact outcome.
 Online consultants will not be a good resource for you when it comes to selection of appropriate breast implant type/size/profile.   Although it is true that ultra high profile breast implants have greater projection,  I do not think that anecdotal opinions you have received online are necessarily relevant in your case. In other words, there are many factors that come into play when it comes to the final look achieved with  breast augmentation surgery.  Anecdotally, I have found that ultra high profile breast implants are very useful when it comes to achieving certain outcomes for patients with narrow frames.
***Given that your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” or "look ridiculous" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with. 

Hi and thank you for your question.  I tend to stay away from ultra high profile implants as they definitely give you more of a torpedo look.  Breasts should be round and have a natural shape to them which ultra high profile implants tend not to give.  For you I would recommend going with a high profile implant which you could still do a 470cc.  That being said, I would caution you a little bit as putting in too large of an implant can be risky.  If you try and put too large of an implant in, you risk having your incision open up, having the implant exposed and having to remove the implant for 6 months.  If you came to me I would tell you that there's no way I would comfortably put a 470 implant in you and feel like a safe doctor.  I would probably steer you towards something in the 300-400 range because that's what I think would be safe.  Something else to note though is that the 3D computer programs can be very misleading which is why I don't like using them.  Best of luck!

Although a physical exam is really needed to give you any meaningful
advice, in terms of picking the right implants (size and
profile/projection)  to achieve your goals, generally speaking, I
consider 3 factors when selecting implants for my patients:
1. Dimensional planning
2. Gel Implant Sizing system and
3) your "wish pics"
Dimensional planning – The measurements of your chest wall are taken.
Also, the breast dimensions including the height, width, and current
dimensions of each breast form the basis of dimensional planning. Based
on these measurements, the implant size is recommended. This will give
you a unique breast implant that is suited for your body frame. However,
there are some limitations of what size we can recommend. For instance,
some implants may just be too big for a narrow chest wall.  Hence a
physical exam is really needed to give you any meaningful advice.  
Gel Implant Sizing system – During the preliminary breast implant
consultation, you will be provided with an option to “try on” a variety
of implant shapes and sizes. You can also visualize the possible
outcomes of your surgery which helps you to get that perfect size to
give you the shape that you longed for. This way your preferences are
known and you can then pick a range of implants that will “fit” just
right to give a soft natural  fuller look. Hope this helps.
Dr. Basu
Houston, TX

We can't give specific implant suggestions without an exam but we can give you some general thoughts. The UHP might look more like the photos in your "don't like" category. For women with your general build, when we use implants in the 290cc-320 range they usually will have a breast in the C cup range. So something in the 400cc range should get you to the very full D look in your "like" category. The HP will be less artificial looking. Hope that helps.