Moderate Profile or Moderate Plus Profile? (photo)

Based on your ideal look picture, I would recommend the moderate plus profile.  Most women in my practice go with the moderate plus instead of the moderate.

The chest wall appears to be fairly large so should be able to accommodate a 450 mL moderate profile implant. Moderate plus would be satisfactory as well.

The same size implant may look different in a different patient. I like to use three dimensional imaging to show patients a simulation of what the implant sizes and profiles look like. A picture is worth a thousand words.  A higher profile implant of the same volume will have a smaller width. Typically, I prefer to use implants close to your natural breast width. 

Dear Calorina,

Thank you for your post.  Definitely the MP+.  You should pick the cc's not out of the air, but based on your breast width.  The implant should be close to the ideal breast width.  You currently have a gap between the breasts.  This can be fixed with careful dissection and careful implant width selection.  The following link is of a lady who had a larger gap than you that was fixed as above.

Best Wishes,

Pablo PRichard, MD

It it difficult to say what implant would be best for you without performing an exam first.  Also, be aware that one nipple is lower than the other and may require a lift.

In my opinion the "narrower" the diameter in your case the better. So I might chose HP or UHP implants. 

It is hard to suggest an implant style based solely on your photographs but the majority of women in my practice use the moderate plus breast implant in the range between 300 and 400 ccs.  Once evaluated by a plastic surgeon you will have a better understanding on the implant and how to select the correct profile for your body and anatomy.  

This is not something you need to be anxious about. As long as you do your part in choosing a surgeon who is certified and experienced and then trust him after making your desires known you should have a high chance of success. There is so much information on the internet now that it creates a lot of anxiety in patients who feel they have to learn everything there is to know about the science and art of plastic surgery just to protect themselves or get what they want, and frankly, it is just impossible for a lay person to do that, so I would recommend you unburden yourself about that. Would you tell your Orthopedic surgeon what kind of hip implant you prefer, or you cardiac surgeon what kind of valve? If you were in a lawsuit would you trust your lawyer or would you try to read up on all the pertinent law and tell him how you want him to represent you. Hopefully not. It is the same with plastic surgery. Use sites like this to get a basic understanding of things, then trust your surgeon. Don't go for the discount doc. In plastic surgery as in all things, there is always a reason things are cheap versus expensive. Go for the reputable surgeon who comes highly recommended and is expensive. The surgeon will tell you what is the best implant for getting as close to your goal as is possible and based on your photos it would be highly unlikely you will be able to look like your ideal since you have asymmetry and ptosis. However, there is no doubt a reputable surgeon should enhance your situation significantly and I wish you all the best. the implant will be based on your measurements combined with your goals.

One of the main guidelines surgeons use in picking implant size is to try to match the implant diameter to the breast width, and that I cannot tell from the photos.  The width difference at that size between the two options is so small that if one is OK so will be the other. Your surgeon can best help with your choice. 

All the best. 

When choosing implants it is important to discuss all of your options with a board certified plastic surgeon.
I recommend that you visit with your plastic surgeon again to review your breast dimensions and tissue measurements.