Can I Get a Natural Look with a 275-300cc High Profile Implant? (photo)

Question

My PS recommend 275-300cc silicone implants placed with the dual plane technique. Can I achieve a natural look with this size implant? I really don't want to look like I have two balls on my chest. Also my mother is a breast CA survivor is silicone acceptable or should I go with a saline implant. 37yo 5'2" 125lbs BWD 11cm 2 children, 1 breast feed

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your bra size but you desire a natural look.  There is a new technique called The Mini Ultimate Breast Lift.  A circumareola incision is used to elevate the breast higher on the chest wall to increase upper pole fullness and move your breast medial to increase cleavage.  Aligning the areola and breast tissue over the bony prominence of the chest wall produces maximum anterior projection and may eliminate the need for implants.  This technique is totally natural since no implants are used and there are no ugly vertical scars.  If you desire a larger cup size, implants can be placed simultaneously or later.

	Best Wishes,

	Gary Horndeski, M.D.

Jeffrey E. Schreiber, MD, FACS · Answer

In my experience, the best way to achieve a natural with breast implants is to choose a size that fits your chest measurements and is not too large. This can be achieved with careful measurements of your chest and existing breast dimensions. Also, placing breast implant samples in your bra will give you a general idea of how you will look after the procedure. Even more, the website from Mentor call Love Your Look gives you a visual of how you will look with augmented breasts. As far as silicone versus saline goes, they are both FDA approved and do not increase your risk for breast cancer. Having said all of this and by looking at your photos, 300cc high profile implants will most likely give you a more fuller, natural look. High profile implants are great, but the ultra high profile implants may give you more cleavage and a better overall shape to the breast without being too large. Good luck! Dr. Schreiber...Baltimore plastic surgeon

Kenneth Hughes, MD · Answer

A breast augmentation with the implants chosen will likely not be too big and will look natural. As far as silicone or saline with regard to breast cancer concerns, either type of implant is acceptable. Kenneth Hughes, MD Los Angeles, CA

Garrett A. Wirth, MD, MS, FACS · Answer

With your limited description and the pictures provided, it would be impossible to say for sure that all your goals would be achieved.  In short, I do believe that you would get a natural look with that combination of profile and volume implant based on the pictures you provided.  It is always important to work with a Board Certified Plastic Surgeon, and I also recommend utilizing a system of measurements to further refine the decision-making process before going into the operating room to give you the best opportunity to achieve your best possible results.

Paul Gill, MD · Answer

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Sugene Kim, MD, FACS · Answer

There are several variables in determining implant size.  When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal.  Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation.  You should visit with board-certified plastic surgeon who will examine you.  Try implant sizers to get a rough estimate of the size you may want.  As you know, bra/cup size will vary depending on the brand.  Good luck with you.
	Dr. Sugene Kim

C. Bob Basu, MD, MPH, FACS · Answer

I consider two factors when selecting implants for my patients:
	1.Dimensional planning
	2.Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.
	Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
	Hope this helps.
	Dr. Basu
	Houston, TX

Richard J. Brown, MD · Answer

Natural is a very generic term and means something different to different people. From your photo it does look like your right breast is smaller than your left but it is hard to tell from online pictures. If you trust your surgeon and believe in what you have been consulted about then you should be fine. With regards to silicone vs saline, there is no issue with respect to cancer as you have indicated. The fact that your mom has had cancer has no bearing on you having silicone implants. Silicone implants are very natural feeling and safe. You can also have a wonderful result with saline if you have good soft tissue coverage. Your surgeon should be able to help guide you through the pros and cons of saline vs silicone.

Darryl J. Blinski, MD · Answer

Could be a good option but very hard to advise in your case over the internet. Best to obtain a few in person evaluations. Was a lifting suggested?

Steven Wallach, MD · Answer

First, silicone can be done as with anyone with a family history, proper monitoring is key. As for an implant without a lift, it is quite possible but an exam in person is essential.

Can I Get a Natural Look with a 275-300cc High Profile Implant? (photo)

Answers (14)

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