I want more fullness on top and my breasts to appear closer together. High or moderate profile? (Photos)

Hello and thank you for your question. Based on the photographs provided, you have significant ptosis of the breasts ( a measure of how much the breast sags). In addition, you have a wide distance between your breasts and a slightly deficient ( or constricted) lower portion of your breasts. The outcome of a breast augmentation surgery has more to do with your underlying dimensions and position than on selection of implant type. Regardless of implant choice, you would need a breast lift. While increased volume would help provide cleavage in a supportive bra, the distance between your breasts will remain the same even after breast augmentation. I would suggest consulting with a plastic surgeon certified by the American Board of Plastic Surgery for best results. Good luck. I hope this helps.

The nipple distance is seen a little lower than your body. Therefore, breast augmentation alone does not seem to correct this deformity. It seems appropriate to perform a lift around the nipple, namely donut lift, together with augmentation. If you want a more pronounced cleavage, fat injection to the inner and upper parts will provide a good appearance.

It is important for patients to understand that augmentation will "augment" all aspects of your anatomy. The spacing of the footprints of the breast on the chest wall will vary from one individual to the next. Widely spaced breast will appear more widely spaced and vice versa.
The spacing (cleavage) is defined by the pocket. The pocket is defined by the plane of augmentation.When placed submuscular, the medial/middle limit is the sternal origin of the muscle. Wide sternum greater separation of the breasts less dramatic cleavage. This space can be narrowed (with some risk of synmastia) when the devices are placed subglandular or "over" the muscle. There is no muscle obstructing a medial push, however, there is a higher risk of over-dissection and midline migration of the implant (the dreaded "uni-boob").
With regards to your specific question, a higher profile device is narrower but will project more. A wider device can create the illusion of closer spacing between the breasts (when placed subglandular). Most patients will fit into the "moderate +" category...but this will depend upon the measurements of your breast width. That being said, it is never recommended that you stray far from your unique BWD.
And remember...love the look you choose...not the cup you desire.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Your nipples are located below your breast fold. For this reason, a breast lift would be recommended if you want more fullness on top. Breast augmentation alone would most likely not be sufficient, as they need to be centred behind the nipples so would sit too low on your chest. As for cleavage, it could be improved a bit but you would need to discuss this with your surgeon to determine if the improvement would be enough to achieve your goal.

Thank you for your photos. To give you the very best possible answer, it would be beneficial to know the width of your breasts, and the distance from the notch at the base of your neck down to each of your nipples. The width of your breast helps to determine the best implant width for you. This measurement is also the height of the implant, so you can measure that distance up from the fold under your breast to determine how high up the implant will create fullness on the top of your breasts. Other measurements, such as the distance from your nipple down to the fold underneath your breast with your skin under stretch, would help to determine whether your skin envelope will accommodate the implant width and height, or whether you may require a small breast lift in order to center the nipple/areola over the center of the implant. Your plastic surgeon can do these dimensional measurements and offer you the best solution to your concerns.

Dear Nurseluna, thanks for sharing your pictures and concerns, after evaluate your case you look like a great candidate for breast augmentation with implants and Breast lift due to a big ptosis of your breast. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Thank you for submitting your questions and photos. Based on your photos, you would be an excellent candidate for a breast lift and placement of implants (augmentation). The lift will help raise and centralize your nipples which will give your breasts are more youthful appearance. Combining the lift with a high or moderate plus profile would be a great option for you. A board certified plastic surgeon will be able to measure your properly and make recommendations for an appropriate profile for you. Good luck and thanks again for reaching out.

The technique I recommend is a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear nurseluna,

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

Hi, thanks for your question. According to your pictures, it’s look like you have a mild tuberous breast. In my opinion your implants should place over your muscles. Anatomical implants or high profile round implants will work for you.

You have a 'barrel chest', which means your rib cage and sternum create a prominent and wide central chest, and this prominence extends high up toward your collar bones. Your breasts have a low nipple position and mild sagging. As I tell others, stop thinking about profiles for the purpose of achieving the breast shape you want, mostly because people don't understand what implant profiles do and don't do. You need an implant that is as wide as your breast; this is the most important dimension. Then based on in-office sizing to determine your volumetric needs, choose the appropriate implant based on the implant volume determined by sizing that matches the desired implant diameter. This will determine implant profile. Once the implants are inserted at the time of surgery, a breast lift should also be performed so that your nipple areolar complex sits at the appropriate place on the breast mound. You will have plenty of upper pole fullness.