What size would be best? Moderate plus implants or high profile 325-355cc? (photo)

Question

Hi there I’m 36 and I have had one child ,so now I’m a deflated B. I’m looking for volume and dominant cleavage and I stuck between gummy bear mod plus and high profile. I know the mod plus will achieve volume through out the entire breast and some projection, but I don’t want to end up to wide. As for HP I know there more narrow with an upper pole. The way my breast sit is what is making this so difficult I don’t want to come out with a wide gap.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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

Gary M. Horndeski, MD · Answer

Implants alone will not solve your problem. Your breasts are asymmetrical in volume, shape and position. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. 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. I would recommend continuing to discuss your concerns with your plastic surgeon or seek additional consultations to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!

Donald R. Revis Jr, MD · Answer

Good morning,
It really depends on your measurements- measure your base width diameter from your lateral breast edge to a point that would give you a 1cm (one finger) gap, and then choose the implant which most closely matches that number.

Daniel Barrett, MD · Answer

Dear cuteseybum,
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

Jose Suarez, MD · Answer

Have a nice day! Here’s Dr. Jose Suarez hoping to answer all your doubts. Only through an assessment can we know which is the best implant for our clients.

Connie Hiers, MD, FACS · Answer

I am not a fan of the gummy implants since they are firmer and carry more long term risks. I prefer the smooth round implants for a softer feel and long life span. I do recommend placing them behind the muscle for better upper breast fullness and avoiding seeing the implant edge.  Measurements will tell what profile is needed based on the size selected.

Vicente Ramirez, MD · Answer

High profile will better project your areola to achieve a similar result to the image. The volume of the implant depends on your own actual volume, which can be measured in a consultation

Camille Cash, MD · Answer

It is best that you return to your surgeon to further discuss your goals for surgery.  Many surgeons have sample implants you can "try on" to help you get an idea of how you may look after surgery.  Your surgeon will combine your measurements with your goals/concerns to help you select the implant that's recommended for you.

What size would be best? Moderate plus implants or high profile 325-355cc? (photo)

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