Should I get low profile or moderate? Other? (photos)

None of the modalities to approximate final results from breast implants are 100% accurate; they merely facilitate the patient and the board certified PS concurring on the size and type of breast implant which will come the closest to reaching the patient's goal. My patients prefer to try on the sizers under garments they typically wear to determine if they fit as expected and help allay some of their trepidation associated with this decision.Have another preliminary conversation with your PS and ask to try on a profile bra with silicone moderate 250cc and 300 cc sizers under a tailored blouse, tight sweater, swimsuit, workout clothes, tank tops, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. The most important clinical factor in determining breast implant size is the base width or diameter of the patient’s native breast. If the patient would like more volume to obtain a larger cup size, the implant profile can be shifted from a moderate profile implant to higher profile implant. I would recommend that you go with 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. In the OR, my patients leave it up to your PS's experience, technical skill, surgical acumen, and detail-oriented specificity to select the implant that comes closest to the agreed upon aesthetic improvement with your anatomy.

Depending on the individual anatomy and desired results, estimations and measurements should be made for each patient individually. The elements that form up the breast shape and size and the overall frame can be different in each person. It is best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello thereWeight loss can significantly affect breast size and may therefore alter the appropriate implant size for you .At the very least you need to be reviewed by your surgeon .A sizing session with sizers and imaging on the Vectra 3D would be of great benefit .CheersTS

The answer to which breast implant profile you should choose is both very simple, and yet very complicated.  Simple answer: the one that looks the best and gives you the volume that you want.The more complicated answer is the one that fits your base diameter AND gives you the volume that you want.  This is where things get complicated because plastic surgeons have all kinds of different methods and techniques for determining base width diameter; some don't take any measurements at all.This is where I have a fundamental difference of opinion with ALL other plastic surgeons.  Based on the way I measure my patients there is absolutely no way that your base width is 13.9 and using an implant that wide will just widen your breast and make it push into the armpit.  Having said that, I'm sure that there are plastic surgeons that would claim that your base width is 15 and encourage you to use an even wider implant.Bottom line, I know the plastic surgeon you are seeing and you are in good hands.  He's a good doctor.  If you like the way his breast augmentation patients look then you will likely achieve similar results.If you want to learn more about breast augmentation you can download a free breast augmentation planner at aBetterBreast dot comRichard H
Fryer, MD FACS
Board
Certified by American Board of Plastic Surgeons (ABPS)
member
American Society of Aesthetic Plastic Surgery (ASAPS)
member
American Society of Plastic Surgery (ASPS)

Hello and thank you for your question and sharing your photos. An in-person examination is required to give you a useful advice. Implant profile to a large extent is based on your desired breast volume and the width of your breast footprint. The width of you breast footprint is a constant number and will not change with fluctuations in your weight. Most plastic surgeons use many modalities including in-bra sizers and goal pictures to select the final implant. Your final result depends on lots of things including your chest wall anatomy, skin envelope, and degree of breast ptosis among others. My best advice is that you communicate your goals and aesthetic ideals with your surgeon as clearly as possible and trust your surgeon's skills and abilities to deliver what you are looking for.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Hello and thank you for your question.    Based on your photographs alone, I think you would be an excellent candidate for a breast augmentation with a higher profile implant, likely a moderate plus implant.  Please make sure you clearly define your desired breast outcome goals to your plastic surgeon – this would include the size you would like to achieve, and your ideal breast shape.  Photographs, like those you provided, are helpful.  Your plastic surgeon would then select the best breast implant for you based on volume of the implant, projection of the implant, contents of the implant (saline vs silicone), shape of the implant (round or anatomic), surface of the implant (I only perform smooth), position of the implant (over or under the pectoralis muscle, skin stretch of your breast (more stretch would require a larger volume to fill), breast diameter and overall chest circumference, and native breast tissue volume. The next step for you is to be sure your plastic surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used (in your case, it would be the same incision), and the type of breast implants available.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.  
For more information on breast augmentation, please refer to my link below.

Good luck.  

Mark K Markarian, MD, MSPH, FACS

Harvard-trained Board Certified Aesthetic Plastic Surgeon

Thank you for sharing your excellent question. You should expect an excellent result and although a specific size implant can not be recommended with measuring key parameters, based on your inspiration photographs it appears that a moderate plus or full profile will better approximate your goals.  Hope this helps.

Thank you for your question. It is challenging to determine what would work best for you based on one photo. There is a lot that goes into determining the best profile implant for you based on your goals and your body. In my practice it would be uncommon to use a low profile implant for a breast augmentation. A moderate-plus or high profile are the most common profiles I use to give better projection while making sure the implant still fits the base diameter. This being said, your surgeon was able to examine you and determine based on your goals and measurements the best implant for you. If you are concerned with the profile, I would suggest setting up another appointment to discuss implant options with your surgeon. Best of luck.

The difference between higher and lower profiles for a given volume is projection and for a given width is volume (with the high profile implant being greater in both scenarios). The moderate plus is the most commonly used profile in my practice. It allows for the most reasonable volume in a given BWD. In my practice, low profile implants are the least commonly used (widest and flattest). I will typically reserve high profile devices for smaller framed individuals or those seeking a less subtle more dramatic change (the opposite of natural). 
In general, the difference between a high and Mod (+), in reality, is very small (on the order of millimeters).  In my practice, I generally classify profile based upon patient preference. A higher profile provides a more dramatic look (size for size) vs. a moderate (+) profile which is relatively more subtle and understated. That being said the vast majority of patients will select a moderate + profile device (especially those seeking a more natural and subtle result).
I often find it is easier to decide on a profile (rather than a volume), this combined with BWD will determine volume. Trying to match a particular volume to a profile may lead a BWD mismatch. In my practice, smaller framed individuals do prefer higher profile devices. Ultimately, profile choice is a choice between more or less subtlety.I would recommend more communication with your surgeon. It is his/her job to guide you through this process. Their experience is a resource...use the resource.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Verified Member
RealSelf Top 100
RealSelf Hall of Fame

stick with the implant that the two of you picked.  it is a relatively small implant and the less projection the more natural that it will look