6+ months post-op, Motiva Round High Profile 355cc - Too Narrow, Too High. What size and profile would improve this? (Photos)

Question

I’m 6+ months post-op with Motiva Round High Profile 355cc. My breast base width is 12 cm, and my current implants are only 11.5 cm wide – visibly too narrow and too small for my frame. They also sit too high, with insufficient lateral and lower pole fullness. The result is a shape that feels compressed and lacks the projected, rounded contour I was aiming for. The first photo shows my wish result from before surgery. The second photo shows my current result with Motiva 355cc. I’m now planning a revision with implant exchange and IMF lowering. I’ve had several consultations, but I’m reaching out here to get broader input from experienced professionals. I’m currently considering: – Motiva Round Full 450cc (High Profile) – Mentor Xtra 440cc (High Profile)

Mats Hagstrom, MD (license on probation) · Answer

Generally, speaking breast augmentation outcomes are based on three variables.
The first is the patient candidacy for the procedure. This can include variables such as breast position on the chest wall, breast shape, breast, divergence, etc., etc.
The second variable is implant selection in regards to size shape and type.
Anytime, excessively large implants are used the chance of undesirable side effects, complications and need for a vision surgery will go up.
Opting to go for a bigger implant it will increase the chance of having more problems and needing further revision surgery.
 This is also true for opening the IMF, which puts patients at risk for having implants that bottom out.
The third variable is the surgeon‘s ability to put the implants in the correct anatomic location.
This is irrelevant of the implants being above or below the pectoralis muscle.
In other words the third variable is due in the procedure correctly.
It can take some time for implants to settle in.
Considering that there’s nothing majorly wrong with your outcome I suggest you may want to put on the brakes and give it some time.
There’s nothing inherently wrong from a surgic perspective. 
To make an assessment on the outcome of any plastic surgery procedure we generally need to see before and after pictures.
If you don’t have your before pictures, then ask your surgeon to forward the pictures they took.
I typically warn people against opting for implants that are too large.
I also generally am cautious of opening the IMF.
Best,
Mats Hagstrom MD

6+ months post-op, Motiva Round High Profile 355cc - Too Narrow, Too High. What size and profile would improve this? (Photos)

Answers (1)

Recommended reading

Everything you need to know about Breast Implant Revision

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

6+ months post-op, Motiva Round High Profile 355cc - Too Narrow, Too High. What size and profile would improve this? (Photos)

Answers (1)

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Recommended reading

Everything you need to know about Breast Implant Revision

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