Recently I heard getting 300cc high profile looks very natural. Is this true? Thought it was the least natural option

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 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

There are many factors that determine the shape and contours of the breasts, and the profile of the implant is just one of them. You should be able to discuss how different implants will look on you during your consultation, after your surgeon has had a chance to exam and evaluate you.

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan.
As always, discuss your concerns with a board certified plastic surgeon.

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Dear Brair,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Higher profile implants do not tend to look natural because they are very projecting (out away from the chest) for a rather narrow base diameter. I tend to place high profile implants in patients that want an "augmented" or "stuck on" or "coconut look". I would recommend a lower profile implant if you are looking for a more natural result; placed below the muscle. I would also recommend finding a surgeon certified by the American Board of Plastic Surgery. I would particularly recommend finding one with excellent experience in breast surgery.

The most natural looking result isn’t about the implants alone. It is about your body dimensions, goals and expectations, and then choosing the implants that would best complement those. So, for one patient, 300cc high profile may give them the result they want, but for another, it may not. It all depends on the individual traits of the patients.

You are correct. High Profile implants will give you the "push up bra" look even without a bra. Normal breasts are not round on top but the High Profile because of their projection will give you an "augmented" look.

Implant manufacturers make a variety of profiles in order to sell the product. The difference between the profiles is very minor. It is usually a few millimeters between a high profile and moderate profile. You need to worry more about the size and position of the implant instead of the profile of the implant.

Best Wishes,

Gary Horndeski, M.D.

Natural and fake are subjective terms and one woman's natural is another's fake. As I mentioned in another question of yours, that can only be determined by you, which is why simulation software of sizers are the only way to go. As an aside, there is no single result gotten from any given implant size or profile, like the 300 cc one you mention. Each implant imparts a very unique result in every woman. This is why I eschew looking at other people's results knowing what implant they used; it's completely irrelevant. One final word: When it comes to looking 'natura' or getting the size the patient likes when she's looking in the mirror, the quality of her breast appearance fades into obscurity. The only thing that matters is how you perceive your proportions; 99% of reoperations are for wrong size, not Whether the breast ended up looking natural or fake to the beholder.

Thank you for sharing your question. Nothing replaces an in-person examination of your tissues and a thorough conversation detailing your goals. That said, for most patients a moderate profile will provide a more natural look than high profile. Additionally, placing the implant underneath the muscle and selecting an implant smaller than your overall breast size will also achieve a more natural result. Hope this helps.