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.
January 17, 2019
Answer: Implant size and type Dear Doody,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.Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid themYou should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Helpful 6 people found this helpful
January 17, 2019
Answer: Implant size and type Dear Doody,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.Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid themYou should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Helpful 6 people found this helpful
December 6, 2019
Answer: Sizing Never a great idea to get hung up on the numbers, but if you are... the same size moderate profile implant will look more natural in most women than the same size high profile implant. I would be just as concerned about the recurrence rate of contracture and how your surgeon is adressing that issue. best of luck, Dr. Greenwald
Helpful 3 people found this helpful
December 6, 2019
Answer: Sizing Never a great idea to get hung up on the numbers, but if you are... the same size moderate profile implant will look more natural in most women than the same size high profile implant. I would be just as concerned about the recurrence rate of contracture and how your surgeon is adressing that issue. best of luck, Dr. Greenwald
Helpful 3 people found this helpful
November 8, 2017
Answer: Moderate Vs High Profile Breast Implants to Retain Cup Size? It's a very good question. Implant profile refers to how far forward the implant projects on your chest. Implants that have a higher profile create a more "augmented" look. I typically use moderate profile implants to give a more natural appearance. When considering breast augmentation make sure you find a board certified plastic surgeon who will take the time to answer all of your questions and explain all of your options, so that you can decide of breast augmentation is right for you.
Helpful
November 8, 2017
Answer: Moderate Vs High Profile Breast Implants to Retain Cup Size? It's a very good question. Implant profile refers to how far forward the implant projects on your chest. Implants that have a higher profile create a more "augmented" look. I typically use moderate profile implants to give a more natural appearance. When considering breast augmentation make sure you find a board certified plastic surgeon who will take the time to answer all of your questions and explain all of your options, so that you can decide of breast augmentation is right for you.
Helpful
