Goal is to have perky and medium sized breasts (Big B to medium C cup). Will high profile with a narrower base fit me? (Photos)

Question

I have consulted with my surgeon. My measured breast width is 13 cm. She suggested 325 CC mentor moderate plus profile with a base of 12 cm. I like it yet it seemed wide when I tried on a sizer. I am currently flat after breastfeeding and losing weight - my bust measurement wonly at 31 inches. Will a 325 CC high profile with narrower base at 11.4 cm create a big gap between my sternum, decreasing cleavage? My goal is to have perky and medium sized breasts (Big B to medium C cup).

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

Donovan Rosas, MD · Answer

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
With regards to your specific question, remember, cleavage is a function of anatomy and not implant choice. Your implant choices seem reasonable. The decision of profile is ultimately a function of natural (moderate) or dramatic (high),
With regards 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Camille Cash, MD · Answer

The higher profile implant will give you a rounder, more projected look.  Your cleavage is determined by your anatomy and not greatly influenced by implant selection.  I encourage you to return to your surgeon's office to further explore the implants.  I've included a video I hope you find helpful.

Tuan A Truong, MD, FACS · Answer

Thank you for your question. The difference in the base width here appears to be ~0.5 cm. The other important dimension to look at is the projection. The moderate plus profile was designed to help bridge the gap between the medium and high profile implants. Improved cleavage is typically thought to be improved with a wider implant base, and so pros and cons need to be weighed. A thorough discussion with your surgeon will hopefully sort some of these questions, and if not, a second opinion can be warranted. Good luck on your journey!

Goal is to have perky and medium sized breasts (Big B to medium C cup). Will high profile with a narrower base fit me? (Photos)

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Goal is to have perky and medium sized breasts (Big B to medium C cup). Will high profile with a narrower base fit me? (Photos)

Answers (4)

Answer: Breast augmentation

Answer: Breast augmentation

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Everything you need to know about Breast Augmentation

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