I am having Breast Implant revision next week due to capsular contracture from the first surgery 11 yrs ago. I have 430cc Saline breast implants under muscle at present and will go back with Silicone breast implants. I am trying to decide between 421cc moderate profile or 425cc high profile. I am currently a 36C and want to keep my same cup size just want a more natural appearance.
Moderate Vs High Profile Breast Implants to Retain Cup Size?
Doctor Answers 53
High vs. moderate profile breast implants? How to tell which you need
Choice of implants
You are comparing a high profile and a medium profile implant. While the two implants have similar overall volumes, with about the same number of cc's, they will have different shapes.
The high profile one will be somewhat narrower from side to side, but rounder. It will give you more fullness and roundness in the upper part of the breast, but possibly less cleavage/ more of a gap. It will tend to look more like "the push up bra" look than the medium profile
The medium profile implant will tend to be a little wider, but give less fullness on the top. In our practice, this shape is a little more popular, but it's really a matter of patient preference. Both can look nice, when they are proportional to your frame, and placed by a skilled surgeon.
Do you know what shape (profile) your current implant is? If you are trying to maintain that exact look, use that information as your guideline.
All the best,
Saline and Silicone breast imlant sizes- High vs moderate propfile breast implants
usually saline impalnts are perkier than silicone implants. moderate profile breast impalnts give better cleavage and fullness of the upper pole than high profile implants. Also, breasts generally look flatter and smaller after a capsulectomy procedure. You should consider these points in deciding on the size of new breast implants.
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Moderate vs High Profile Breast Implants
Both companies that make breast implants, Allergan and Mentor, have three styles of implants, low, moderate and high profile. High profile implants have a relatively small diameter with a greater projection to diameter ratio than the other implants. Low profile implants have a much lower projection to diameter ratio. Moderate are in between.
For a majority of patients the moderate profile implants look the most natural. High profile implants can work well in women with a narrow breast width. Low profile are good to add upper pole fullness in an augmentation mastopexy.
It depends on your proportions.
The volume and profile is just part of the equation. Your surgeon needs to pick an implant that is appropriate for your proportions. The diameter of your breast, distance from nipple to infra mammary fold, and skin envelop characteristics are all important factors in deciding what implant would give you a natural appearance. There is only a 4cc difference in volume between your two implant choices but there is almost 1.5 cm difference in diameter and a 1cm difference in projection between the 421 and the 425cc implants. This could mean the difference between a natural and a "done" look to your breasts.
Breast Revision decision
Thanks for your question.
In simple terms the higher profile will generally give a sharper more full upper pole of the breast which can look less natural. So to keep a natural profile the moderate profile more often works well. However, in some cases the implants can be very similar in projection, especially when the size is close like 421 vs. 425. In my practice I use 3-D imaging and can show patients with a side by side image and an overlay image that the difference is only a few millimeters (not much!). In some cases I will favor a higher profile or more optimal fill ratio implant to reduce ripples. The new allergan soft touch implants and sientra implants have great fill ratios and can be helpful with ripple problems. Visit with a board certified plastic surgeon that can help explain a tailored solution for your case.
How to Determine Implant Profile and Size
I personally use sterile implant “sizers” (temporary implants) placed in the created implant pocket during surgery to know in advance exactly which implant would work best for you in both a sitting and lying down position. This also allows me the opportunity to modify the pocket to meet some of the more subtle shape features desired and allows me to decide if a high profile vs Moderate profile implant is best suited for my patients
Minimal difference in volume, check the difference in width
The best implant for you is the implant that fits your body the best. You are highly unlikely to notice 4 cc difference but you will notice a difference of a centimeter which may be the case in the change in implant profile (moderate vs high). Ask your doctor about the implant that's best for you. Good luck.
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.