Which profile would allow me to keep mu current natural lift? Hoping to achieve a natural yet fuller look (photos)

A more natural result is achieved with a lower profile implant with a conservative volume based on a patient's base diameter placed under the muscle.

Dear JNewspaperGirl,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello, I agree that NF distance is an important consideration. If the NF distance is really short (for example, 3-5cm), sometimes it's necessary to drop the inframammary fold in order for the breast implants to look balanced on the chest rather than sitting too high. Typically patients with a NF distance of 6-7cm don't require lowering of the IMF, but it depends on the size of implants chosen, etc. I don't rely on 3D images for my surgical decisions, but rather I take all of my own measurements. The anatomic points used by 3D imaging systems to come up with their measurements aren't always accurate in my opinion, so I use 3D renderings as an adjunct to my own physical examination. Thanks for your question.

Since you are starting off with very perky breasts, it should be easy to achieve the look you desire. A small implant will do that nicely for you. If you choose a large implant, it will look too round, and over time, may stretch the NF distance. Hope that helps. Best of luck.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

From the provided photos you appear to be a good candidate for breast augmentation. A more moderate profile implant placed under the muscle should allow you to increase the volume and maintain your overall shape. The higher profile implants would result in a look with more upper pole fullness. Visit with a few board certified plastic surgeon's near you to listen to varying opinions.

Hey, thank you for your question. Based on your crisalix and the goals, I think you could get a great result. The profile can change based on your volume goals. Based on the photos and where I think your volume will land, I would guess you will use a moderate plus profile with those measurements. I would be able to get a better idea by having you in the office to do an exam and then using our virtual sizing technology to show you what each implant size will look on you and then selecting a size and profile from there.

A moderate plus profile would look very nice on you. The profile selected is based on measurements and the volume you want. You might need a high profile if you go large. Your surgeon will help guide you to the correct profile based on the volume selected.

There are two variables that generally government whether someone gets a quality outcome from a cosmetic surgical procedure.
These two variables govern the outcome of all cosmetic surgery. The first variable is the patient’s candidacy for the procedure. The second is the skill and experience of the surgeon.
Most patients do not understand their own candidacy for breast augmentation. There are certain women who have ideal breast for implant augmentation, while others are going to have potential issues because of their own body.One such example is women who have divergent breasts. If the nipples pulling out towards the sides, instead of straight forward, like headlights on the car, then this will be amplified with the projection that implants create.
This is only one exampleThere are lots of criteria that differentiates those who are excellent candidate from the store, average candidates, or poor candidates.
Without pictures, we can’t begin to make an assessment.
The choice of provider is more important than people realize. There are significant differences among board-certified plastic surgeons. Being board-certified, and plastic surgery with years of experience in an overall good reputation does not mean somebody has mastered any one single procedure or is even good add a certain procedure for that matter.
To get a good assessment to understand your own candidacy for the procedure, including with the procedure can, and cannot accomplish and help find the best provider. My best suggestion is for patients that have multiple in person consultations with local providers.
There’s no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider.
In the hands of the right provider, the choice of implant shape, size and type will be explain carefully so that you have an understanding and knowledge in the decision process. The surgeon should guide you through this process based on having a good understanding of what you’re trying to achieve.
Generally, speaking, smaller in plants create a more natural appearance since the ratio of tissue to implant leans more on breast tissue. if 95% of a woman’s breast is implant, and her breast are going to look like implants. that said, a significant number of women get used to the new breast size and sometimes wish they went a little bigger, despite the appearance, not looking passible as unadulterated breasts.
Generally speaking, I prefer to work with low profile implants, but the decision is based on the breast, width and desired final outcome size Using the same diameter breast if a woman wants larger breast, then higher profile implants are indicated since they will have a greater volume with the same diameter.
In the hands of the right provider, all of this becomes simple, straightforward and clear
I cannot emphasize enough the importance of provider selection. Implants bottom out is a technical error when the procedure is done by those lacking sufficient skill and experience to get consistent quality long-term outcomes. While implants riding high it’s also a potential technical issue. It is far easier to correct than implants that bought them out.
Patients who are uncertain or still have significant questions should probably either go back to their provider and get all the questions answered, or continue having more consultations until you feel very comfortable. You found the right provider for your needs.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients. A highly experienced surgeon shit in fact have hundreds or preferably thousands of before and after pictures to choose from.
Being shown a handful of preselected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve actually done.
I recommend taking careful notes during each consultation, especially regarding the quantity and quality of before and after pictures.
Always ask surgeons what their revision rate is for each of the major complications that can happen after this procedure, especially capsular contractions, adjusting the position of the implant and changing implant size or shape. Make sure you have a clear understanding of each surgeons revision policy.
Breast implant augmentation has a fairly high re-operation rate so these discussions should be had.
Do not make assumptions that surgeons know what they’re doing, that things will be fine or that you won’t have a complication or need a revision.
It is your responsibility to properly vet, providers, and interview enough surgeons to have a sense of comparison.
Best,
Mats Hagstrom, MD