Will UHP give me a fuller rounder look? I am 5’8 120, 13.1 breast width

No, if you keep the volume fixed, as in 470 cc, an UHP implant will have a smaller diameter and will not extend up your chest as high as your current implant. This will result in LESS upper pole fullness. What you need is a wider diameter implant, and possible higher volume.

A higher profile does not equate more upper pole fullness. A higher profile implant means that the implant has a narrower diameter for the amount of projection that it provides. This will just look more like a round ball as opposed to providing an upper pole fullness. I would recommend seeing an expert in revisionary/secondary breast surgery (must be a board-certified plastic surgeon by the American Board of Plastic Surgery).

Dear Cool544590,
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.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your breasts are asymmetrical in volume, shape and position. You will need a circumareola approach to level the areolas. Also, one implant looks larger. You may be better off with smaller implants. They will give a more natural appearance and feel.

Best Wishes,

Gary Horndeski, M.D.

Hi there,
Yes an UHP implant will achieve more fullness on top, this implant gives the most upper fullness. The UHP is more narrow than the HP, so you will also need your capsules closed down laterally as well.
You should also consider a cohesive gummy bear implant, this also helps achieve the most upper pole fullness.
All the best

Actually, you are starting to bottom out from the weight of your breasts. I would suggest going down in size and repositioning your inferior pocket. Don't go bigger.

This response was dictated. My apologies for potential grammatical errors.
Breast augmentation outcomes are based on three variables.
The first is the patient’s candidacy for the procedure in the first place.
Variables that affect candidacy include breast position on the chest wall, breast, divergence breast, droopiness, breast, diameter, etc. etc.
The second variable is the choice of implants in regards to size shape, and type.
Low profile implants generally have a more natural appearance, while high profile implants at the extreme look more like tennis balls on the chest.
Working with excessively large implants that don’t fit the natural diameter of the original breast forces breast free anatomy to be distorted.
This leads to increased chance of undesirable, side effects, complications, and revision rates.
The last variable is the surgeons ability to place the implant in the correct anatomic location.
This is true whether the implant is above or below the muscle.
With sub pectoral implant placement, sufficient amount of pectoralis muscle needs to be maintained in order to give support for the implant in the IMF. Both contraction of the pectoralis muscle and gravity will push on the lower part of the breast giving at the potential to get stretched out.
This is why it’s so important to have sufficient tissue left to hold the implant in place and not have the implant be supported by skin and breast tissue above the IMF.
When the implant is placed with insufficient pectoralis muscle and natural breast anatomy to support the weight of the implant, the lower part of the breast will expand or the implant will begin to bottom out.
In your case, the implant is not bottoming out, but the lower half of your breast is stretched because it’s supporting the weight of a large implant.
Most likely, your augmentation outcome has changed over time.
A little bit more support and having the implant placed just a little higher during the original procedure may have prevented this long-term outcome.
A higher profile implant will give more projection, but the main point of projection is going to be at the center of the breast, which is closer to your nipple position.
Using the same volume implants, a higher profile implant will have a smaller diameter.
This means that projection in the upper most part of the breast will be lost unless you increase the implant size to have the same diameter with more projection.Continually increasing implant size will eventually lead to secondary problems and more revisions.
Part of your outcome is related to implant selection, and while the augmentation is considered very good by most, the weight of the implant based on positioning, has stretched the lower half of your breast. It’s possible to raise the position of the implant by closing the pocket in the lower section.
In the end, there are a lot of variables involved, and as is almost always the case, the most important variable becomes provider selection.
In the hands of the right plastic surgeon, quality decisions will be made, and the right steps will be taken during primary or revision surgery to give you quality outcomes.
In the hands of the right provider, you’ll be guided to make appropriate decisions about implant choice.
If you’re happy with your current provider, then work with that plastic surgeon. If not, then begin the process of vetting other plastic surgeons in your community to find the right provider for your needs.
To find the right provider, I suggest relying exclusively on in person consultations.Bring with you a complete set of proper before and after pictures and a copy of your previous operative report.
If you’ve had more than one breast procedure, then bring the information for each of the previous procedures.
Bring quality pictures of what you currently look like in printed format to use as reference during the consultation.
Do not rely on memory or mirrors When comparing outcomes and reviewing before and after pictures.
During each consultation, ask each provider to open up their portfolio and show you a good collection of previous patients, who had similar outcomes and had revision work, and have the provider explain the exact mechanism of why their approach would fix the problem.
To get what you want there’s a good chance of providers are going to steer you towards larger implants.
Every time patients choose implants that are larger than their own breast anatomy. Secondary issues will eventually develop increasing the Degree of dissatisfaction and need for revision surgery.
There’s a fair degree of complexity, and no easy direct straightforward answer to your question.
Different providers will have different opinions.
Focus on finding the best provider.
Best,
Mats Hagstrom, MD