Ultra High Profile? 120lbs, 5'7'' BWD is 11cm. 32A wanting to be in the D range. PA is thinking 460cc UHP.

Question

My chest bone sticks out so I know it makes sense to have some projection but I just want them to look my wish boobs and I feel like the UHP will look like lower balls. Implants can totally look round but they have to be large enough to make them look more natural. There is not many examples of UHP. I tried on 450cc HP and liked them as well. I just wonder if there will be a gradual slope or a hump with UHP. I plan on going under the muscle.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.
  
The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  
  
Silicone will give you a fullness at the top (upper pole fullness).
  
Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.
  
Anatomic gummy bear implants might be a good choice to give you volume.
  
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
  
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.
  
The best way to assess and give true advice would be an in-person exam.
  
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
  
Best of luck!
  
Dr. Schwartz
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Austin Hayes, MD · Answer

Thank you for your question. Based on your photos, you appear to have a nice starting place and should have a nice result with breast augmentation surgery. The most important factor when sizing implants, is working closely with your surgeon in person to find the implant size that gives you the look that you desire. Careful measurements of your breast and chest wall will help determine which size implants will fit within your natural breast footprint. Taking into account your desired look, and your measurements, an implant is chosen that specifically fits your body. Unfortunately, online recommendations are not that helpful.  In general, ultra high-profile implants will have a more round appearance, particularly in women with less breast tissue to camouflage the implant.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Kirk Moore, MD · Answer

This is always the major question. The best way to answer, in my opinion, is to actually try on sizes at your surgeon's office. A lot also depends on your skin laxity and, therefore, the capacity of your breast tissue to 'handle' the implant volume. Based on your pictures, you do have a little 'slant' to your chest, meaning that any projection from your chest will project slightly more to the side than straight out. With that anatomy, the larger the implant, and the more projection, will actually make you look farther apart, like you have a larger sternal gap than you actually have. UHP implants, by design, have more projection, and therefore, would accentuate that gap even more so. You also appear to have a rather low-set breast, and, imo, will appear very low, with large implants. In your case, I might suggest, if verified with an in-person exam, a shaped implant to fill the upper pole of your breast and get a more subtle transition from the chest wall to the projected part of the breast. I think you will get a nicer shape, and a more natural result. Trying to achieve a cup size alone, I believe, is the wrong approach. Bras are not universal in their cup size measurements and cup sizes vary tremendously from store to store. You are going for a look, not a cup size. No one taps you on your shoulder and says: "Hey, you look great! What cup size are you?" So, throw the cup size desire out the door, try on sizes without mention of the volume, and look in the mirror. Also, if you truly are only 11cm wide, even the numbers you are taking about will give you a significant risk of having 'side' boob, because they are significantly wider than your own breast. Be careful, because the wider you go, the more risk you have of visible and palpable rippling of the implants. Best.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

Ultra High Profile? 120lbs, 5'7'' BWD is 11cm. 32A wanting to be in the D range. PA is thinking 460cc UHP.

Answers (9)

Answer: Size

Answer: Size

Answer: Breast Augmentation - Size Selection

Answer: Breast Augmentation - Size Selection

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Ultra High Profile? 120lbs, 5'7'' BWD is 11cm. 32A wanting to be in the D range. PA is thinking 460cc UHP.

Answers (9)

Answer: Size

Answer: Size

Answer: Breast Augmentation - Size Selection

Answer: Breast Augmentation - Size Selection

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.