Moderate Profile vs Moderate Plus Profile? (Photo)

Question

I am a 67 yo female, seen by my board certified plastic surgeon today. I am 125lbs, 5' 4" and made the decision of a modest 375cc moderate profile implant. I measured 13 cm and 34 width. My question is should I request moderate plus profile instead of the straight up 'moderate'? I do not want my breasts to look flattened or spread out, however, I do not want them to look like I had half sized soft balls inserted either. looking for a natural look.

Daniel Barrett, MD · Answer

Dear dsargis144,
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.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Brian K. Reedy, MD · Answer

Thanks for your question! Each implant company has different profiles, so there is a chance that if your surgeon uses Allergan, there may not be a "moderate plus" profile. I would express your concern to your surgeon and then together, you can select the best implant for you. Good luck!

Peter Andolina, DO · Answer

If I remember correctly, there is not a huge difference in terms of dimensions when you are looking at a moderate vs a moderate plus profile. Typically the difference in projection varies from a few millimeters to a centimeter. These differences dont really add up to a huge difference in real life. If I were you I would ask the surgeon to look at both types of projections and to get the dimensions for you so that you can see the actual difference between the implants. Rest assured that both the moderate and moderate plus profile implants are great implants and in the right patient can real give a more natural appearing augmentation because the implants aren't as aggressive as a high profile, ultra high, full profile, etc.

Connie Hiers, MD, FACS · Answer

I prefer the moderate plus over the moderate profile for most of my ladies. Otherwise, I use the high profile. I find the moderate is a little flat.

Darryl J. Blinski, MD · Answer

Based on the 1 posted photo I agree with your asessment. I would ask for moderate profile Plus implants so not "flattened" effect. Best to virtual consult with.....

Camille Cash, MD · Answer

I think either will be fine, but the moderate plus will not likely give you the "soft ball" look.  That is seen more commonly from high profile or ultra high profile implants.  Many surgeons have sample implants you can "try on" to get a feel for how you may look after surgery.  That may help you in your decision.

Moderate Profile vs Moderate Plus Profile? (Photo)

Answers (7)

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