Moderate Profile Plus OR High Profile?

Dear Betterbreast in Calgary:

Thanks for the question. Videos and links are provided below under "more". The choices that you list above are not radically different. Both sets of implants are approximately the same size and shape, so don't beat yourself up too much trying to decide. Choices are good.

The implants options you list are 380cc for the left and 420cc for the right breast in high profile, or 350cc and 375cc slightly inflated in the moderate plus profile.

Size: The difference in size is 30 to 45 cc's or 2 to 3 tablespoons, so the size difference will not make a huge difference.

Shape: The difference in shape will be more noticeable, especially to you when looking down at your own breasts. The high profile implants will look larger, because they will project forwards more. The moderate plus will still project forwards, but will tend to give a bit more side boob, as they are wider than your chest.

Normally, I trend toward the high profile implants for the narrow chest. The just fit better for the volumes you are considering. As far as natural goes, going behind the muscle helps more with achieving a natural shape than changing implant profiles. Either way, unless you are pretty flat to start with, the volume you are choosing are larger than average.

 

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 link.

if you are over 22 years old, i would suggest a silicone implant.  you are quite slim and i think you will get a softer and more natural result.  the higher the projection , the less natural your breasts will look.  however  an attractive breasts  is not  alwaysthe same thing as a natural appearing breast. you need to speak to your surgeon about your ultimate desire  good luck

I tend to choose a high profile implant for a patient that wants a little more volume in a breast with a narrow width- 12 cm is fairly narrow. If you want to look 'natural', I think either surgical option that you presented will fail. However, if you want a nice looking augmented breast, then choose the implant volume you like and select an implant profile that fits within the width of your breast.

You did not state what size you want to be.  I think that the result that you are looking for is what will determine the profile. It appears you are talking about saline?  I think you would do better long term with silicone.  If you are 12 cm wide you would do good with about a 375 High profile silicone implant +/- 25 to 50 cc for the asymetry.  This should get you to a C range. If you want to be a B then a moderate plus would be better at about 300. If you want "bigger" stay with high profile and higher cc's.  If you want "natural" then smaller cc's.

Anyone considering a high profile breast implant should have a look at them ahead of time, and carefully consider how much natural breast tissue they might have to cover the implant. Over time a thin breast will thin out further over the implant, and what you see on the table in the office will appear on your chest, unless of course well hidden by natural breast tissue. The implants are great for some, just take time to consider if you are one of them.

Best of luck,

peterejohnsonmd

It is in my practice to decide the profile of implant used based on patient goals, measurements, and use of sizers intra-operatively. In general, i think it is too much responsibility for the patient to decide on implants pre-operatively. Communicate your goals with your plastic surgeon and let him/her use their best judgment to reach your goals as much as possible.

I tend to place more high profile implants becuause most of my patients are narrow and want the projection.  It is a fielder's choice call, you have to decide with your surgeon based upon your anatomy and desire.

The available options depend on the width of your chest.  The diameter of the implant is limited by that dimension.  Different profile implants will give a different volume and appearance.  The higher profile implant will result in a round, less natural appearance.  It all depends on the outcome you are hoping for. 

Hello. Thank you for your inquiry. It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.

Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.

There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.

During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.

I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.

We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.

We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind