Should I go with high profile or moderate plus? (Photo)

Question

I am 5’7 140 currently around an A maybe a B at most. I don’t want a lot of side boob but I don’t want them to stick out to far. Moderate plus on the right side and high profile on the left side . It would be 450 cc high profile or 350 moderate plus

Stephen T. Greenberg, MD, FACS · Answer

Good morning and thank you for your question.  I tend to lean towards high profile implants.  I find that they don't give too much side projection.

Finny George, MD · Answer

Hi, thank you for sharing your question. Only you would be able to answer this question based on your virtual simulation, however, from what you mentioned it seems a moderate profile would be ideal.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Usually moderate profile implants sit wider and high profile project outwards more. Speak to your plastic surgeon and try on some sizers to know what you like best.  Feel free to access our website for more before an afters based on the profile.

Brian K. Reedy, MD · Answer

Thanks for your question! This has to come down to personal choice. Both seem like viable options for you. It just depends what your end goal is. Perhaps you should take some "wish pics" into your next appointment and get the opinion of your plastic surgeon. Good luck!

Anna Steve, MD · Answer

In general the higher profile implants will create slightly more upper pole fullness (central cleavage at the top of the breast) and have a greater implant on shifting the nipple position higher (good for women who have mild drop of the nipple). Generally you want to avoid using an implant to create 'side boob' as this may mean the implant is either sitting to wide on the chest or the width of the implant itself is too large for your breast width. Fat grafting can be used to design custom cleavage lines and would be a better option for achieving 'side boob'.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. Before you decide on the profile, you need to decide on the volume you want. Once you decide the volume, then your measurements and the volume will dictate which profile fits you best, not the other way around. The difference between a 350cc and 450cc implant is significant and with trying on sizer at a consult and with 3D imaging, you should be able to determine which volume you are searching for.
Best of luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Ted Eisenberg, DO, FACOS, FAACS · Answer

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, and they choose what looks right for them. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear Shifflett352,
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

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Assuming both implant dimensions work for your chest size, the decision is based on which is closest to your goal results.  A totally independent decision for you to make.

Camille Cash, MD · Answer

Implant selection is best done in person.  The correct implant will take into account your surgical goals as well as your breast measurements.  The implant should be no wider than your breast diameter if you are not wanting the "side boob" look.  High profile is going to give you more projection and a bit of a more rounded look.  Many surgeons have sample implants available that you can "try on" to give you an idea of how you may look after surgery.

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