Do moderate profile implants commonly add fullness to the lower pole?

Dear Doramom1,
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

The higher the profile the more projection and upper pole fullness it will provide. Saline implants look and act like bags of water. I've included a video on the various implant types as well as the pros and cons of each. I encourage you to discuss your concerns with your surgeon as to why the surgical plan was altered.

Moderate profile implants are not as projecting, meaning they do not stick out as much as high profile implants. While this does not preferentially expand the lower pole, it does give a bit less upper pole fullness, which can generally be described as cleavage. Switching to a higher profile implant is likely to give you more of the fullness you desire. You may also find that going slightly larger on the implants.