Can I get a moderate profile implant? (Photo)

Based on your starting point you are an excellent candidate for smaller volume lower profile implants.   200 cc is a small implant but it would probably be exactly what YOU want.  In my practice I use Vectra 3D imaging as an education tool to discuss size and shape related concerns.  We want to avoid dropping a fold whenever possible but it is often necessary.  This is something that cannot be assessed on photos alone, ask your PS if it is a good idea based on their exam. 

Hello,You have a great starting point.  You should be bio-dimensionally mearsured, and re-sized in the office of a few more surgeons. I feel that using sizers in the office really gives both the patient and doctor the best idea of her aesthetic goals. It is true that in office sizing overestimates projection.  So, if you liked the 200 cc sizer, you would get approximately the same look with a 225 cc or 250 cc implant.  Based on your photos and your probable choice in implants, I would not think your crease needs to be lowered at all.Best of luck!

Hello, when trying on implants you will notice that they tend to hold the bra away from the skin and there is an air gap around them.  For this reason, many surgeons suggest their patients choose slightly larger implants than the sizers they liked.  Ultimately of course it is the patient's decision.  If you are still concerned you could discuss this with your surgeon or seek another opinion.  It is possible to lower the breast fold but this must be done carefully to ensure that the implant still has support and doesn't drop too low (called bottoming-out).

Hello,The best way to advise you about size options is with an exam and measurements. There will be a small range of implants which fit your base width and tissue. If you are seeking something less projecting than the 300 mod plus, there should also be moderate and low plus options for you with the correct diameter for your base width. It is a good idea to seek a second opinion if you don't feel that you are being offered what you want. I recommend that you seek out a board certified Plastic Surgeon who's before and after photos appeal to you and book an in-person consultation for a second opinion.

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

This must be done with care and if these implants are smooth.  (Sounds like Mentor MPP smooth round gel), these might drop as the smooth implants slide down when standing and over to the side with time.  I recommend textured round gel implants and when Sientra becomes available they have a highly cohesive gel that Allergan and Mentor do not.  Also, moderate profile Mentor in someone as your self might be too wide...it is the first line of implants developed and is flat, wide, with little projection.  You might want to consider a high profile or moderate plus...just a thought.  I have done over 5000 implant procedures and most of my patients are if they are with Mentor like the MPP or HP or if Sientra like the round shaped highly cohesive gel 270cc...might be the ticket!

In my practice, I personally work with my patients using dozers to come up with the best size the patient wants!! You should go 25-50cc larger than the size you tried and lied to get that size and look 6 months after your surgery. The high profile implant will give you more projection but less cleavage and outer breast, while the moderate plus will give you wider base, more cleavage and less projection. As for you, you can maybe split the Fiona's go with 250 cc! Even though I have done many smaller implants, I feel that 250 cc is the most acceptable size for patients who tell me what you wrote!!! Hopefully, you will find this helpful... Good luck

Dear Eliza,Looking at your photos you are a wonderful candidate for a breast augmentation. I am noticing that you might have a little breast asymmetry, but it might not be enough to do something like intentionally lowering the fold or using different volume implants. Everyone has some asymmetry both before and after their surgery, and the appearance at the top of the breast trumps the bottom of the breast. If the distance from your sternal notch to the nipple is significantly different from one side to the other, that might warrant a crescent mastopexy on one side, but again you don't look markedly asymmetric in your photos so this might not be an issue for you.When it comes to size its not like you only have 200 and 300cc's to chose from! You also have 3 sizes between these. If you like the look of the 200 cc sizer, and understand you might not be as full as your goal photos, that is fine. You may end up somewhere in the middle like a 225 or 250cc as another alternative. If you did not have the opportunity to use 3D imaging, that might be a great way to answer the question about the size and profile that you like best naked. I always put more weight on the sizer a patient likes dressed in a full length mirror than on the imaging, but it is a wonderful tool to allow patients to appreciate the difference in profile on their own body and the differences (or lack there of) by going a little bigger or smaller. In a smaller implant range, a wider base diameter like on a moderate profile is typically my preference as well but your measurements and exam are important in when making a profile selection and ultimate size selection, and no one here has the luxury of doing that. Also, each company has a different name and dimensions to their profiles so it can get a little confusing.Best of luck to you,

From your photographs, it appears you're an excellent candidate for a breast augmentation procedure. With your goal photographs, it seems a moderate profile implant will best suit your aesthetic goals. Any implant that is too small can look just as fake as an implant that is too big. Keep in mind that the breast implant base should match appropriately to your existing breast implant. Thus there may be a minimum volume that you can successfully place within your particular tissues. That being said, a low profile implant while you are to place less volume into a wider space. Discuss this with your surgeon period continue to follow up with your surgeon to ensure that you progress as planned.

Thank you for your questions and the photos. I wish you the best in finding
the right answers. It is best to see a Board Certified Plastic Surgeon who can
in person examine you, take key measurements and go over with you your specific
aesthetic goals. My consultation is done at no charge, and is meant to help you
start getting the best aesthetic result. Also included is a review and
discussion about incision location, implant placement, implant size and shape,
type of the implants and recovery period. There are several key differences and
some similarities in the types and shapes of breast implants. It is best to see
and feel in person the different sizes, shapes and textures of the various
implants during a consultation with a Board Certified Plastic Surgeon. Best of
luck.
Benjamin J. Cousins M.D.
Board Certified Plastic Surgeon