Will 360cc Extra High Profile Give Me a Beautiful Result on my Tiny Frame? (photo)

Question

I'm 5'4" 113lbs, 29" ribs. My BWD is 10.7 & 10.4. My PS suggested 320cc Allergan style 45, but he will try to use 360cc's based on my desires, 32D. He said he doesn't use the EHP's often, but he "likes them in the right patient." Since my body and BWD is small, will the extra high profiles still look like pointy torpedoes or should they give me a full beautiful result? Who is the "right patient?" Will they widen the gap between my breasts since they are narrow? Will they live under my chin?

Terrence Scamp, MBBS, FRACS · Answer

Hello there 

	Determining the size of the implant that fits you is best done by careful measurement of the width of your breast . Thereafter size can be adjusted by increasing the projection of the implant . As the implant increases in projection and size the final result will more resemble the roundness of the implant . This can still look attractive but it is undoubtedly a more round look . So it comes down to your breast measurements and the look you are after. I have done many cases with implants of this size and shape in petite lasses but I wouldn't advise you without measuring you first.

Nana N. Mizuguchi, MD, FACS · Answer

I agree with your doctor that the use of these implants are for a selective group of people.  You are a small framed person.  From the description given, it sounds as if you are within that selected group, although I am not aware of any chest asymmetries, prominences or concavities.  Do your breasts have a large gap between them now? If so, the muscle may need to be dissected more.  THere are many variables to consider.  I am not aware of your cup size now or pre-operatively.  If you add a 320 to a size B cup, you will certainly be a D or DD.  The larger the implant size, the more artificial you may look.   I tend to use the EHP'S in mastectomy patients, but have used them for regular breast augmentation.  Your breast diameters are narrow and you would definitely need either HP or EHP.  It depends on your ultimate goal post-operatively.  The implants "should not live under your chin."  If they truely fit your breast diameter, they should settle with the nipple appearing in the center of the implant.  If you have a tight skin envelope with a minimal amount of skin between the nipple and fold, you will need to massage aggressively after the surgery to stretch the skin in the lower poles so the implants settle appropriately.

	Thank you.

Robert Brueck, MD · Answer

I prefer medium profile gel implants.I use them 90 plus percent of the time and think they would be best for you.

David Bogue, MD · Answer

Thank you for your question. From your photos, you have narrow breasts which are spaced far apart. The super high profile (style 45) implants are likely to look very round and very unnatural. The implants will not change the distance between your breasts but they will accentuate the distance (make it more noticeable). Although you want a 'D' cup breast, there may be no way of giving you this without creating augmented, very full appearing breasts.

Ashley Gordon, MD, FACS · Answer

Thanks for the question and for sharing your photos.  Based on the image of your ideal result, extra high-profile gel implants would give you a lot more projection and roundness at the top. Based on your frame, you could indeed feel like they are under your chin.  I know that you want to be full D, so a HP gel is a better choice based on your frame and BW. Implants don't change the distance between the breasts and you want your implants to be centered directly behind your nipple.  You should trust the experience of your plastic surgeon, and if you feel uncomfortable with his/her suggestions, it's always a good idea to seek a 2nd opinion.  Best of Luck!

Will 360cc Extra High Profile Give Me a Beautiful Result on my Tiny Frame? (photo)

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Will 360cc Extra High Profile Give Me a Beautiful Result on my Tiny Frame? (photo)

Answers (9)

Answer: Super high profile implants - what to expect.

Answer: Super high profile implants - what to expect.

Answer: Extra High Profile Gel Implants

Answer: Extra High Profile Gel Implants

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

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