Moderate vs high profile implant? Worried that moderate 295cc will be too small

Question

I have been debating my implant sizing over the past few months - based on two consults I am considering either 295cc moderate silicone under muscle, or 325cc high profile. I am hoping to achieve a natural, proportionate look - I an l5’7, 125lbs and am a 34a (breast base width is 13.3cm). I’m worried the 295 moderate will be too small as I consistently hear girls wish they went a little bigger.

Finny George, MD · Answer

Hi, thank you for sharing your question. Thirty cc’s will not be a large difference between the two implants, but high profile may give you slightly more projection. You may want to consider 3D simulation to gauge how the two implants will look.

Martin Jugenburg, MD · Answer

Hello, thank you for your question and measurements. Yes it is true most likely across the board that women wish they went larger after breast augmentation. The difference of only 30cc is not going to be apparent to the regular eye. If you are leaning towards the bigger implant size or worried it will be too small then go with the bigger size. If you are worried they will look too large and ridiculous then go with the smaller size. Importantly enjoy this transformation! very excited for you good luck!.

Daniel Barrett, MD · Answer

Dear tay111,
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

Ronald J. Edelson, MD · Answer

Breast width measurement is a flawed way to select implant size. It’s a gimmick that doesn’t transfer well to reality. I agree that 295 is probably too small. Given your height  325 to 375 would be more appropriate given your height.. look at photos on surgeons’ websites to get a realistic idea of what size to select. Also the volume is more important than the profile. There is a moderate plus implant. Just use that as a compromise. It will work fine

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. 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 size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Connie Hiers, MD, FACS · Answer

Go back to the surgeon you prefer and ask to try on both sizes so you have a better idea of what you may see.  Otherwise, go with the larger implant.

Camille Cash, MD · Answer

Selecting the right implant for you is best done together with your board certified plastic surgeon.  Many surgeons have sample implants you can "try on" to help you get a feel for how you may look after surgery.  The volume difference between the two implants you are considering will not be very noticeable, if at all once in the body.  You will want to select the implant that best fits the breast space with the projection you want.

Douglas Taranow, DO, FACOS · Answer

Photos would aid in accurate opinions. 
I have patients bring in wish pics and order several size implants.  During surgery, I use a sizers to get the correct size
30 cc’s is usually not a large difference in size, except in smaller implants like the 295cc

David Janssen, MD, FACS · Answer

This is the biggest issue in breast augmentation surgery. It is something that we all take seriously, and may do differently. Most of us deliver what we discuss in spite of our differences. We use the Mentor sizing system and after we get you into a look that you like we use the Vectra 3-D Photography and Morphing system to show our patients results that we can deliver.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your data, I note that the volume of your breasts are approximately equal, but the left breast sags almost 2 cm more than the right.
One should choose an implant of the same base width diameter (BWD) as the width of your breast. If too narrow, poor cleavage...if too wide, exaggerated cleavage and "lateral boob". You can find available implant sizes from each manufacturer (Allergan, Mentor, etc.). 
The difference between a 295 cc implant and a 325 cc implant is only 30 cc (2/3 of a shot glass...not much difference). The choice of projection (moderate vs high profile) and fill is purely patient choice.
If the data is accurate, you may require a lift of the left breast.
Best wishes...

Moderate vs high profile implant? Worried that moderate 295cc will be too small

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