Does my breast measurements and and tissue determine profile and size?

Without seeing you and taking your breast measurements (which would be the way to say for sure), you could almost certainly increase your implant profile to get a fuller look. The most important measurement for an implant fitting you is the base width of the implant (which should match the base width of your breast fairly closely). If a 320cc moderate profile implant fits you, a moderate plus, full, or extra full profile implant of the same width should also fit you and give more fullness. For example, the 320cc moderate profile Sientra implant has a width of 12.3cm. If that fits your breast width, a 355cc moderate plus, a 385cc high, or a 510cc extra high profile should all fit you as well, as they are all about the same width (depending on how much fuller you would like to be).

Hello,

Thank you for the question.

I'm sorry to hear that you are not fully happy with the implant size.

Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall.

You can also exchange implants to a larger size in the future.

I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Thank you for your question. Yes breast measurements especially the width of your breast are important for determining what size implant will fit in your chest. Many of the woman who have larger implants may be on their second set. You would have to give time for the skin, breast tissue and muscle to stretch to accommodate a larger implant. Most surgeons recommend waiting a year before replacing with a larger implant. A moderate profile implant will give a tasteful appearance to the breast and look more natural. There are also full profile and extrafull profile implants that project more so showing more cleavage, but more of a fake look. I use full or extrafull profile implants when a woman has a narrow chest and the breast width doesn't allow me to put in a larger implant. The full profile and extrafull profile implants are less wide so they may fit your breast and allow you to have a fuller breast look. Hope that helps!