Would I benefit from moderate plus or high profile? Concerned about mild sagging, would like to avoid outward migration (photos)

Question

Left consultation confused and excited. I’m 5’1, 103 lbs; I’ve had a baby so I just want to “inflate them”. I’m deciding between 200cc Mod Plus and 250cc High Profile. If I were flat, the decision would be easy but I can’t find many before and after’s with my stats. As is, I can wear a push-up bra and they’ll look great. Both sizers look great. I want to know which implant will fill me out best in a bikini and is the least likely to migrate outward since I have a wider cleavage

Chul Hwan Seul, MD, PhD · Answer

Looking at the current nipple level and IMF (inframammary fold) level, I don't think there will be any problems using the implants you mentioned. A high-profile implant is advantageous for saggy breast correction, but if a high-profile implant is used, I would recommend using 250cc implant. To prevent bottoming out or outward migration (lateral malposition), it is important not to use implants that are too large and to wear a bra properly after surgery.

Celal Alioglu, MD · Answer

Hello You need breast lifting with implants because you have a swollen skin and breast only with implants it will not make a good look.

Leila Kasrai, MD, FRCSC · Answer

If you’d like more lift, then please speak with your surgeon about high profile. HP may be better able to more closely achieve your desired appearance. However, HP can only provide a bit of a lift. If you’d like more, then a breast lift may be recommended because your nipples appear to be a little lower down on your chest.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. We usually advise our clients to bring is wish pics of what they like and what they dont like. Also when sizing bring a soft sports bra with you to see the differences in projection. Lastly speak to your plastic surgeon about your thoughts and what would be the best step forward. Good luck. Feel free to check out some of our before and afters on our webpage below.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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

Gerald Minniti, MD, FACS · Answer

Always choose the flattest, widest implant possible for your breast and chest dimensions. I can see that your prospective surgeon uses Mentor implants based on the volume of the mod plus and high profile volumes. Mentor mod plus is slightly flatter than either Natrelle's or Sientra's mod plus, and Mentor's high profile is slightly more projecting than either Natrelle's or Sientra's high profile. My recommendation is a Sientra mod plus 235 cc implant. Same 10.5 cm diameter. It's a nice in between size compared to either of the Mentor's profiles.

Scott W. Vann, MD, FACS · Answer

I agree you only need implants to give you a great result, to just inflate your breasts. 200 and 250cc size are modest size implants. If you like both I think you will regret if you do not chose the 250. Good luck.

Zoran Potparic, MD · Answer

I think that implant in range of 250 ml would create desired effect regardless moderate plus or high profile. You already have some cleavage, so placing implants close to natural line would give you enough of cleavage. You should discuss these issues with your surgeon since fine details like these need in person evaluation and appropriate discussion. Hope this helps. Good luck.

Gary M. Horndeski, MD · Answer

You look great in the push up bra because the breasts have been elevated higher on the chest wall and more medial. You will need an operation that does that. Adding implants will not do what a push up bra does. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

200 cc is very small and I think will be a dissspointment. Even 250 is considered small but I would prefer 250 instead of 200

Would I benefit from moderate plus or high profile? Concerned about mild sagging, would like to avoid outward migration (photos)

Answers (14)

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