Moderate Plus Vs High Profile Silicone Gel Implants?

The difference between the moderate plus and the high profile is how far the implant will project from your chest wall. The high profile has a more narrow width, but contains the same volume as a wider implant. Thus, instead of going wider, it goes higher. When this is in your breast, it means that your breast will project forward more.
In general, high profile implants also create a more round look. This is because it is more narrow and more tall, I find this creates more fullness over the top part of your breasts. This make the augmentation more obvious. Some patients have referred to this as the "fake look." There are some women who really like this.
Most of my patients prefer not to have this look. They prefer that more of the fullness is located over the lower part of their breasts. This look is more consistent with a natural breast. If they desire more fullness up top, they use a "push up bra" to create that.
Thus, the choice of implant depends on the kind of look you want. If you want more roundness and fullness up top, then get the High Profile. If you prefer less fullness up top and a more natural look, then go with the moderate plus.

Deciding on which implant to use is always a difficult decision
for women. The benefit is that in this day and age is that there are so many
choices of implants that the augmentation can be tailored to each patient.



Truly
the best thing that you can do is be open with your surgeon about your desired
results so they can help guide you in choosing the best implant for you.



First of all I would tell you that you are going to be happy
with which everyone you decide to use for your augmentation. I would pick the
one that fits your breast best. You want
the implant to be about the same with as your breast. This will help give you some medial fullness
but also keep you from looking heaving because the implant is too wide.



It is important to see your board certified
plastic surgeon to help guide you to an implant that will give you an
aesthetically pleasing breast.

Thanks for the question. It is a good one and one that my patients are constantly asking. The difference between these two profiles is their diameter and projection. Your plastic surgeon should have measured your breast and chest wall so that he/she may guide you in making this decision. Ultimately, its your preference, but its a choice you make with the help of a knowledgeable and communicative PS. Best of luck!

I appreciate your questionAfter performing hundreds of breast augmentations, I have found that the size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Implants that are wider than this can be more palpable, fall more laterally overtime and also be more palpable. After that we will then choose the implant volume based on the measurements and also looking at any asymmetries you might have. You should choose a board certified plastic surgeon that you trust to help guide you in this decision. Bringing photos as well can help us to finalize, but please understand that these are of other peoples bodies and your results will probably be different.Silicone will give you a fullness at the top (upper pole fullness). Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more softer silicone (less cross-linked), if this implant should rupture, it may leak but only into the scar capsule formed. However, the newer silicone in these implants may not leak even when the implant shell is ruptured. Anatomic gummy bear implants might be a good choice to give you a more natural look. These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak. Implants, indifferent projections. The easiest way to think about it is they called me in a low medium and high projection or profile. Most of the time I use the medium profile which gives people the best in terms of natural look as well as a little bit of projection. High profile implants are for someone that wants  A little bit more of a fuller look. Low profile implants are better for someone that really wants a minimal extremely natural augmentation. Depending upon the anatomic versus round implants there are also subtle differences  in terms of the amount of projection for each profile. During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers. I also use a 3D imaging system to allow you to try on a variety of shapes and sizes. I prefer this method over adding volume due to implants being under the muscle.We will also discuss the possibility of needing a lift along with an implant. This will depend on the amount of ptosis (nipple position) as it relates to your breast, inframammary crease and chest wall. Needing a lift or not will also determine where to place the scar for the incision.  In some cases if the the breast and nipple is really ptotic (low) it might be best to stage the procedure by performing a lift first and then doing an implant at a second stage. This will also allow you to have a better understanding of the true size and shape of your breast.In order to limit pain from breast augmentation and speed the recovery process I offer patients Botox into their muscles as well as a long acting numbing medication called exparel. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr SchwartzBoard Certified Plastic Surgeon #RealSelf100Surgeon#RealSelfCORESurgeon

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.

Show the plastic surgeon what you want and let him/her decide what is best for you. 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 as I will further explain in the below link: