Would 425 and 400cc moderate profile look okay for my frame?

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. 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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Good morning,
I would really need to measure your chest myself to determine whether the Mod Plus might be too wide and the High Profile might be a better choice. I would also recommend a donut mastopexy because after your augmentation if you don't lift your nipple position they will sit at the bottom of your breasts- hopefully your PS pointed that out also because its pretty obvious. Don't fall for the old "I'll just place your implants lower which will raise your nipple position" excuse because that often results in bottoming out and further necessary surgery.

The moderate profile implants will provide less projection which will avoid the "tennis ball" look that you do not want. You mentioned you do not want a lift, so it is important to remember that you will have more volume with the implants, but the nipples will essentially be in the same position. The correct size is determined by measuring your breasts and combining this with your surgical goals. An examination is needed to give a specific recommendation, but based on your wish photos you are in the right neighborhood.

Your breasts are asymmetrical in volume, shape and position. Implants alone will not solve your problem. 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 totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Hello, thank you for your question. I dont it is the size that will make that difference but actually the projection. You are most likely looking for moderate profile implants. These tend to be less round and more tear drop shape. The high profile is round and lots of upper pole fullness. Ultimately its up to you and your plastic surgeon. Bring in wish pics. Refer to our website below to give you a side by side comparison of different types of implant profiles.

Dear SF101,
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

An examination in person would be required to specifically advise you, however it appears that you have some asymmetry in that the fold on your right breast appears significantly more constricted than your left breast, which may impact implant selection. As a rule, a moderate profile (less projecting implant will provide a more natural result and it would only be "too wide" if improperly selected. The "proper" implant has the correct width, as well as volume and projection.

Please consult with a board certified plastic surgeon whose aesthetics align with your own based on his or her Before and After gallery. Best of luck to you.

I would suggest meeting with a board certified plastic surgeon, being examined and measured, and trying on a range of sizes, including the two you selected, to see what best fits your frame and tissue and feel the weight of the implants.

Hi and welcome to our forum!
From your photos, I note moderately sized asymmetric breasts with medial inferior pole constriction of the smaller breast.
More information is required to determine the correct range of sizes for your breast augmentation. The base width of the implant is the "footprint" of the implant on the chest wall and should be approximately the same diameter of your breast. The profile of the implant determines the projection of the implant from the chest wall. If you go to an implant manufacturer's website (Mentor, Allergan, etc.) you can find these specifications....or you can put your trust in your plastic surgeon's skill to provide you with the result you seek....show your surgeon your "wish pics".
Best wishes …