Moderate or High Profile for Breast Implant Revision?

I have Saline breast implants (425cc) now that I have had for 10 yrs. I am having them redone and having a hard time deciding between HP (High Profile) or Moderate.

I want to go a little bigger and was told either a 650cc HP or 550cc Moderate. I am worried that 650cc would be too big but 550cc moderate would make me look smaller than I am now. What should I go with?

Doctor Answers 8

How Choose The #IDEALBreastImplant

If you are set on a Saline implant then strongly consider an IDEAL Saline implant, now FDA approved and available. It gives a much better shape and softer feel like silicone. See the below link for details. Here is some general information about choosing the right implant. It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon.

Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Implant choices

Choosing the right implant is done during the consultation after a  thorough physcial exam and discussion. It is hard to say without seeing you.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Moderate or High Profile for Breast Implant Revision

Generally speaking I prefer the profile of  Moderate Plus saline implants and High Profile silicone implants.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Breast implant profiles.


1) You don't have to make any such decision! This is a technical issue for your surgeon, based on the look you want and on your anatomy. You need to trust him or her. It is part of the surgeon's job!

2) On the breast augmentation page of my web site, there is information about implant selection.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Talk to your surgeon


This is going to take a discussion with your surgeon but you really won't know much until the new implants are in. How are larger implants going to make you look smaller than you are now? Most of this is dimensional. Higher profile implants stand out more than lower profile implants with less width. What profile do you have in now?

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Breast Implant revision going larger

Every case is different. I meet women who want revision surgery that want to be smaller. larger, the same, etc. You have had your current implants for 10 years so there has been some relaxation or stretch of your natural tissues. Your plastic surgeon's office should be able to set the implants that are your choices side by side so that you can appreciate the differences in size and dimension. I wish you well.

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast implant sizes and replacement

Is your current 425 cc implant a high profile implant? The number suggests that it is. There is a 550 cc high profile implant that you could use instead of the 650 cc. However, it's hard to make recommendations without examining you directly and assessing your skin. 650cc is quite large, and much heavier than your current 425 cc implants, which over time, could lead to more sagging and loose skin.

Discuss the sizes again with your surgeon at a second consultation until you're completely comfortable with your selection.

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 377 reviews

Moderate vs High Profile Breast Implants

It is hard to estimate what size implant you would need without examining your breasts. I understand that you have 10 year old implants. Do you have a signifianct capsular contracture?

Usually in a re-augmenation with a significan capsular contracture, I prefer to use high profile implants that are bigger than what is present. Because it is difficult to judge the right size implant after a capsulectommy, I usually use sizers to help select the best implant size.

Your surgeon is the best judge of the appropriate implant style and size. Make sure you voice all of your concerns directly with your surgeon.

Good luck.

Michael Diaz, MD
Melbourne Plastic Surgeon
5.0 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.