I am 5'7, 125lb, 27 YO. Previous BA done 2022 from AA cup to A cup with 215 moderate smooth round implants. I realized I wanted to go bigger and have more projection and upper pole fullness. I'm concerned with my current implants "bottoming out" a bit. Would there be a preference between moderate plus and moderate plus extra for someone with little breast tissue like myself? I liked the idea of extra due to the upper pole fullness and less lower pole arc. I'm thinking around 375cc.
Answer: Profile differences Profile differences will confer greater volume and projection as you move upwards in the offerings given a particular width. Going up in profile will allow a patient with a given breast width to achieve greater volume/projection without exceeding their measurements. With regards to your specific question, as long as you are respecting the BWD there is no reason you could not move up in profile to achieve an upsize. It is important to remember the trade off for volume is a more "dramatic" less "natural" look. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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Answer: Profile differences Profile differences will confer greater volume and projection as you move upwards in the offerings given a particular width. Going up in profile will allow a patient with a given breast width to achieve greater volume/projection without exceeding their measurements. With regards to your specific question, as long as you are respecting the BWD there is no reason you could not move up in profile to achieve an upsize. It is important to remember the trade off for volume is a more "dramatic" less "natural" look. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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March 14, 2025
Answer: Increasing breast implant size. Thank you for your photos. It appears that your nipple position is excellent in relation to your implant. It has been three years since your augmentation and you should be at a stable breast implant position at this time. I do not see your implants bottoming out. The increased size in your breast implants (215 cc to 375 cc) that you are considering could be done, but would require that you have a capsulotomy done to accommodate the wider implant and additional volume. It would likely give you more upper pole fullness, and narrower cleavage that you were seeking. The dimensions of the moderate plus versus the moderate plus extra are very close and would likely not make an appreciable difference. If you feel that you would look best with the moderate plus extra then that would be the implant for you. If you were at all worried about increased implant descent over time because of the extra weight of the implant, you may consider having your plastic surgeon add a supporting mesh suture into your inframammary fold at the time of your implant exchange to add an extra layer of support. Speak to your plastic surgeon about your best options for this. Best wishes.
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March 14, 2025
Answer: Increasing breast implant size. Thank you for your photos. It appears that your nipple position is excellent in relation to your implant. It has been three years since your augmentation and you should be at a stable breast implant position at this time. I do not see your implants bottoming out. The increased size in your breast implants (215 cc to 375 cc) that you are considering could be done, but would require that you have a capsulotomy done to accommodate the wider implant and additional volume. It would likely give you more upper pole fullness, and narrower cleavage that you were seeking. The dimensions of the moderate plus versus the moderate plus extra are very close and would likely not make an appreciable difference. If you feel that you would look best with the moderate plus extra then that would be the implant for you. If you were at all worried about increased implant descent over time because of the extra weight of the implant, you may consider having your plastic surgeon add a supporting mesh suture into your inframammary fold at the time of your implant exchange to add an extra layer of support. Speak to your plastic surgeon about your best options for this. Best wishes.
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March 7, 2025
Answer: Extra all the way! Great question- the extra would give you an little added upper pole volume! You definitely have the frame to go up to 375cc if you'd like. You may want to consider a pocket adjustment as well, this would love your implants closer together so they sit more centrally on your chest. Eric W Anderson, MD
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March 7, 2025
Answer: Extra all the way! Great question- the extra would give you an little added upper pole volume! You definitely have the frame to go up to 375cc if you'd like. You may want to consider a pocket adjustment as well, this would love your implants closer together so they sit more centrally on your chest. Eric W Anderson, MD
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February 17, 2025
Answer: Mentor moderate plus extra vs moderate plus? there are lots of things to consider when undergoing implant exchanges. Be sure to discuss with your plastic surgeon all issues that you are concerned with so he or she can have a plan for them. Your current implants are quite small and moderate profile do not tend to achieve upper pole fullness. For sure the mentor series of extra profiles-moderate extra, moderate high extra, and high extra do all achieve more superior fullness. I find myself using moderate high extra mentor implants more and more when one is trying to achieve superior fullness. The high extras tend to be a bit narrow unless in much larger volumes. Of note in the photographs, the implants appear to be quite lateral with a large space in between. If this is your preference, fine. If you would want implants to be closer together, discuss this with your surgeon. Personally, I would place sub muscular implants and would perform medial capsule release (that means cutting the scar capsule around your current implants to allow the implants to move closer together) and also would perform what we call lateral capsular imbrication which means using long-lasting but dissolvable stitches to close down the outer pocket to prevent the implants from moving out to the sides in addition to an implant in the 300s. Hope this helps.
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February 17, 2025
Answer: Mentor moderate plus extra vs moderate plus? there are lots of things to consider when undergoing implant exchanges. Be sure to discuss with your plastic surgeon all issues that you are concerned with so he or she can have a plan for them. Your current implants are quite small and moderate profile do not tend to achieve upper pole fullness. For sure the mentor series of extra profiles-moderate extra, moderate high extra, and high extra do all achieve more superior fullness. I find myself using moderate high extra mentor implants more and more when one is trying to achieve superior fullness. The high extras tend to be a bit narrow unless in much larger volumes. Of note in the photographs, the implants appear to be quite lateral with a large space in between. If this is your preference, fine. If you would want implants to be closer together, discuss this with your surgeon. Personally, I would place sub muscular implants and would perform medial capsule release (that means cutting the scar capsule around your current implants to allow the implants to move closer together) and also would perform what we call lateral capsular imbrication which means using long-lasting but dissolvable stitches to close down the outer pocket to prevent the implants from moving out to the sides in addition to an implant in the 300s. Hope this helps.
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February 12, 2025
Answer: Implant Projection Questions? The difference in implant projection between these two types of implants will be minimal and likely in the realm of millimeters. This will not be clinically relevant. The selection of the larger implant will, by definition, increase the diameter and therefore the height of the implant. This will achieve more upper pole fullness. It is important to note that you are fairly long chested and have a low breast footprint. This cannot be changed with surgery. The larger implant by filling the upper pole will give the illusion of a shorter chest.
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February 12, 2025
Answer: Implant Projection Questions? The difference in implant projection between these two types of implants will be minimal and likely in the realm of millimeters. This will not be clinically relevant. The selection of the larger implant will, by definition, increase the diameter and therefore the height of the implant. This will achieve more upper pole fullness. It is important to note that you are fairly long chested and have a low breast footprint. This cannot be changed with surgery. The larger implant by filling the upper pole will give the illusion of a shorter chest.
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