400cc saline - MP vs HP comparison images?

For my patients, we are able to use Crisalix which is a 3D imaging system to allow patients to "try" on implants and see how they might look after surgery. It is just for fun but allows patients to try on different styles, profiles and sizes. It is also helpful to understand asymmetry and individual anatomy. You can't really tell what different profiles and sizes look like from person to person. There is too much anatomical differences in patient's bodies and breast tissue to make the comparison. Consider seeing a board certified plastic surgeon with Crisalix to better visualize your post op breast augmentation goals.

Hello, thank you for your question. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select 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.

You are mistaken thinking that an implant size, style, shape, or profile can be transferable from one person to another. Looking at someone else with a particular implant, even when the height, weight, and current bra size matches does not mean you'll get the same result. If you want usable information, HP implants have the highest complication rate and will negatively affect your body tissues over time, especially saline implants, due to their firm nature.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style 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 size and style breast implant is right for them. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

I don’t think it matters. You probably will be happy with either and wouldn’t notice the difference one way or the other. If you look up the dimensions of the two implants you will notice they differ less than one cm in diameter. Surgeons and patients both tend to overthink this. It’s a reasonable volume. That’s what’s more important.

Dear C8TM,
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

First off, I would recommend not to stress about your decision. When in doubt, you can always reschedule. That said, the burden of selecting your implant should be your plastic surgeon’s, not your own. With my own patients I often use the analogy of remodeling the kitchen. You will not tell your contractor or plumber what size pipe to use under the sink, all you know is you want to have hot and cold water with the right pressure. With regard to your final breast appearance, your burden should be to properly communicate your wishes with the use of photos of your concept of “ideal”. Your plastic surgeon, after evaluating you and taking proper measurements, should make a determination of which implant you need, and it is more complicated that MP versus HP. The width of your implant is the most important consideration, but volume and projection are also important. Best of luck to you.

Thank you for sharing your question. In most cases the comparison of a MP and HP implant can best be seen in oblique or side/profile images of patients. The HP will typically have more fullness and a greater convexity to the upper breast border than the MP. Hope this helps.

Thank you for the question and the best shaped implant for you is determined by measurements at the one of your consultation. Once you pick a volume you like your surgeon can pick the best shaped implant for you based on your measurements

Dr Corbin

Dear Ms. C8TM,

Thank you for your questions. Unfortunately without photos and measurements I can only give general advice.

Breast size is a very personal choice. The correct answer is what proportions you want to achieve.

My responses are:
1)sizing:
A)purchase several bras (full bodied and no padding) of the size you think you want to
be. As you realize there are no standard bra (strap/cup) sizes.
B)take a measuring cup (1 oz=30cc) place rice in a nylon
C) try on various volumes of rice with some form fitting clothes.

2) profile of implant:
A) for the same volume the higher the profile the narrower the base width.
B)there is very little difference in projection between a moderate to high profile implants
thus little affect on how the actual nipple will look.
C) the base width of the breast should equal the base width of the implant
D)thus I personally chose the profile based on the patients chest measurements,
(a high profile on a wide chest may not result in the cleavage desired and
conversely a low profile on a narrow chest may result in implant in the outside arm
area).

3)if implant is placed under the pectoralis muscle I usually add 10% volume to what the patient chooses.... To compensate for the muscle pressing down on the muscle and for
the naturally settleing of the implant which often makes the breast appear smaller 2-3 months after surgery.

I suggest you make out a list of your questions and bring your selected nude "model" photos of what your desired goals/look with you to your preoperative appointment. I trust you have chosen a experienced Plastic Surgeons who is Certified by the American Board of Plastic Surgery and who is ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).


My best wishes,


R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
Awardee: RealSelf Top 100
wwwimagineplasticsurgery.com
4646 Brockton Ave
Riverside, Ca 92506
(951) 686-7600