I am not sure what should I do about the profile.

Photographs would be very helpful in doing an evaluation, however, the best evaluation would occur with an in person evaluation where the dimensions of your breast could be measured to understand what your skin will naturally accommodate. Either a 255 cc high profile or a 280 cc high profile implant with some form of a breast lift, to tighten your skin around the implant should give you an excellent result. You need to discuss this in detail with your plastic surgeon. Best wishes

Hi Cryptket0808,
Ultimately your chest width and tissue stretch determine how large of an implant one can safely place at the time of a primary augmentation. Your surgeon has a goal to do what's safe and to make sure you are satisfied when all is said and done. Different surgeons often have different preferences when it comes to implants and profiles. Without a formal consultation it's hard to tell what is "best" for your body. Just make sure you and your surgeon are on the same page with what you want. Oftentimes sizers or 3D imaging can also be used to also help you make a decision. Best wishes in your surgical journey.
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

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

I don’t select implants based on chest diameter. A surgeon started that about twenty years ago and it’s not really as scientific as they would have you believe. I would concentrate on volume. 235 is way too small and I doubt you need the so called internal bra. I’ve never needed to do this. I would probably use 275 or 300 cc moderate profile submuscular

Dear Cryptket0808,
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

I would suggest you go with the recommendation of the surgeon who has examined and measured you for he/she will know best.

If you have visited with a board certified plastic surgeon and you are comfortable with her/his credentials and discussion of your concerns then I recommend you strongly consider the advice given. This surgeon has had the opportunity to examine you and discuss your surgical goals. If you are not comfortable with your surgeon there is no harm in getting a second opinion.

Photos would help in giving you an accurate plan. Increasing your implant size by anything less than 50cc’s will not be significant. Depending on your desires and measurements, you may need a 75cc increase. The smaller your original implants, the less increase required to be a noticeable difference. In other words, 500cc implants might require 100cc minimum increase to obtain a size change

Hi and welcome to our forum!It's not the profile that is a potential problem...it is the weight of the implant. Regardless of implant shape, the added weight of the implant stretches the previously damaged skin. Stretch marks indicate the presence of permanently damaged overstretched skin usually occurring during pregnancy or significant weight fluctuation where when pregnant or overweight, the skin's dermal elastic fibers rupture due to underlying breast size, resulting in the loss of elasticity and the development of streaks on the skin surface. The skin will stretch over a greater surface area and will predispose to further sagging. The difference between 235 cc and 280 cc is only 45 cc, a shotglass full, but adding any volume to the weakened skin may cause sag. The use of an internal bra mesh appears to lessen this tendency, but without visualizing the extent of the stretch marks, I cannot predict (guess) success or failure. If the stretch marks are extensive, there is also most likely a degree of sag which may require a lift.Best wishes...

From what you’re describing you don’t have a deficiency of skin, in fact it sounds like you have excess skin with loose poor elasticity. Generally speaking this situation does not cause you to be unable to use a high profile implant. The times you can’t do that are the ones were you don’t have enough skin. You should repost this with pictures