Deciding between 345cc moderate and 385cc high profile

Dear ailujdracis,
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

Thank you for your question. Without an examination in person or at the very least photos it is impossible to make any specific treatment recommendations. That said, the higher profile is more likely to give you more upper pole fullness and roundness and less of a natural look. A Moderate Plus profile can also possibly work and it does not make sense that your optimal implant is either Moderate or High. For your frame and dimensions I worry that the 385 HP will look artificial or “augmented”. I personally also prefer a subfascial (above the muscle) approach for a more natural and anatomic placement, with less pain and faster recovery, if your breasts would allow for such.

Continue to do your research, discuss your options with your plastic surgeon, and when in doubt, consider a second opinion with an experienced board certified plastic surgeon whose aesthetics seem to align with your own, based on his or her Before and After gallery. Best of luck to you.