Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

Question

I’m supperrrr small. I’m 5”1 107 pounds no babies and have a breast width of only 10 cm. I don’t want big nasty boobs I want nice natural looking full b cup, maybe a small c, maybe!! I want them to be teardrop shape and not stick out crazy far. I feel like the hp look fake and are pointy and not the aesthetic I want but th dr is pushing them bc I’m so small What is best for me with such a small breast width? Attaching wish pic as far as shape

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Donovan Rosas, MD · Answer

The difference between higher and lower profiles for a given volume is projection and for a given width is volume (with the high profile implant being greater in both scenarios). The moderate plus is the most commonly used profile in my practice. It allows for the most reasonable volume in a given BWD. In my practice, low profile implants are the least commonly used (widest and flattest). I will typically reserve high profile devices for smaller framed individuals or those seeking a less subtle more dramatic change (the opposite of natural). 
In general, the difference between a high and Mod (+), in reality, is very small (on the order of millimeters).  In my practice, I generally classify profile based upon patient preference. A higher profile provides a more dramatic look (size for size) vs. a moderate (+) profile which is relatively more subtle and understated. That being said the vast majority of patients will select a moderate + profile device (especially those seeking a more natural and subtle result).
I often find it is easier to decide on a profile (rather than a volume), this combined with BWD will determine volume. Trying to match a particular volume to a profile may lead a BWD mismatch. In my practice, smaller framed individuals do prefer higher profile devices. I discourage pursuing significant volume as this is a hallmark of the "augmented" or "fake" look. Small girls typically have smaller breasts. Over-sizing leads to a frame mismatch which is not "natural." The difference between mod (+) profile and high profile is subtle and less dramatic than the difference between low profile and the alternatives. Ultimately, it is a choice between more or less subtlety.
With regards to your specific question, HP vs. moderate often becomes a question of subtle vs. dramatic. Most patients do very well with a "middle of the road" profile. However, for smaller framed individuals a HP device is, at times, the only way they can reach reach an adequate volume goal without exceeding their BWD.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Top 100
RealSelf Hall of Fame

Kenneth Hughes, MD · Answer

The most important clinical factor in determining breast implant size is the base width or diameter of the patient’s native breast. If the patient would like more volume to obtain a larger cup size, the implant profile can be shifted from a moderate profile implant to higher profile implant.At your next consultation, take with you a tailored blouse, tight sweater, swimsuit, workout clothes, and other garments you typically wear so you can try on various implant sizers in front of a mirror to help you to get the best idea of whether the garments fit as desired with the implant selected. I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.  Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision. Based upon his/her credentials, trust your surgeon to make the best decision in the OR when the implants are placed.

Daniel Barrett, MD · Answer

Dear Lumilumi92,
Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for your question. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. Additionally there is no direct correlation between implant size and ultimate bra size.  I  recommend discussing your desires further with your ASPS board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations.  It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like.  Best wishes!

Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

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Answer: Implant size

Answer: Implant size

Answer: Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

Answer: Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

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Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

Answers (7)

Answer: Implant size

Answer: Implant size

Answer: Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

Answer: Breast width 10cm. I want a full B. What breast implant should I do? Hp or moderate?

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.