Will ultra high implants look too fake?

Question

I'm 5'5 100pounds . 21 years olds and I had a baby 18 months ago. I breastfed for 3 months and my Breasts are deflated ! I want to have nice full perky boobs I want to be a size D . Currently in a B . My surgeon suggested 295cc ultra high profile. Under the muscle. Also my skin is really really thin. Will this take me to want I want? I don't want to have stuck on round balls though.

William Andrade, MD · Answer

Hello, if your breasts are small and you insert relatively large implants for your body type, they might tend to look more "augmented".  However, it is not possible to state your exact outcome without a proper assessment.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question.  Without photos and more importantly, an in-person evaluation, it is nearly impossible to tell you what would be best for you.  If you have done your part in choosing a surgeon who is board certified in plastic surgery and is an expert in the breast augmentation, then I recommend trusting in his or her opinion on what would be realistic for you.All the best,Dr. ResultsMiami, FL

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements.  Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance.  Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true advice
would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

York Jay Yates, MD · Answer

The higher the profile, the "faker" the look.   This is particularly true if the patient has very little coverage to hide the implant.  That said, if you have a very narrow chest wall you may need an ultrahigh profile to achieve 295 cc without too much width.  Photos would be helpful.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. Based on the size implant you've mentioned I would imagine that you are very petite.  When it comes to implants and dimensional augmentation, the only way to get the largest possible volume in a small space is with higher projection. Your Plastic Surgeon would have measured you carefully then provided size and projection options based on what fits but also your stated desired "look". My patients find it helpful to try on the implant sizers in the office so that they can see what they look like in their own clothing. I recommend that you have a clear conversation with your Plastic Surgeon about your aesthetic goals and the look  you are after. It may be helpful to bring "wish photos." If you trust their expertise, then after stating what you want, you may find it helpful to let them guide you through the process of choosing.All the best

Nathan Kludt, MD · Answer

Thank you for your question. The higher the profile of the implant determines the projection or how much it will make your breast "stick out." The larger the implant and the more it projects will tend to provide a more unnatural looking result. Be sure to try on implant sizers and have your board certified plastic surgeon give you an idea of what you will be able to expect with varying sizes/types of implants. Best of luck, Dr. Kludt

Aldo Guerra, MD · Answer

Hello Stacie. Ultra high means ultra projection and are breast implants designed to really push your breasts forward to the point where they can look fake! That's not the only part of the equation that matters, because volume also affects how "fake" breasts can appear. Bigger is more fake. I suppose with the right body and breast shape and smaller implants one could avoid looking fake, but highly projected breasts are not natural in general. Best wishes always, Dr. ALDO

Ciro Adamo, PhD, MD · Answer

Ultra high profile implants are basically the only choice if, having a small chest, you want to add a significant volume to your breast. Without an examination it is very difficult to be helpful, but as a general rule moderate height anatomical extra high profile implants would normally look better than round ultra high profile ones. The reason for this is that they are a bit shorter, and do not come too high on the chest causing a visible step. You may want to discuss this option with your surgeon, if he/she offers anatomical implants.

Tom J. Pousti, MD · Answer

Thank you for the question.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, 
I have found that the use of words such as “natural” or "D cup” or "stuck on" etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

Alex Kim, MD · Answer

With your height and weight, from our experience, 295 cc would not be enough for you to reach a D cup.  The use of ultra high profile will give you more projection, but it still may not be enough to give you a D.  I would suggest a larger implant with less projection to give enough volume for a D cup with more natural look.  Best wishes.

Will ultra high implants look too fake?

Answers (11)

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