Is Ultra high profile implants 380-415 the right option for me? (Photos)

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. 
With regards to your specific question, UHP devices rarely provide a good match of volume and frame. Smaller framed individuals rarely have very large breasts. As you move upwards in profile, your look will be more "dramatic" and less "natural." This is especially true with UHP devices.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Top 100
RealSelf Hall of Fame

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

First, implants can only give you more to 'work with', not cleavage. If an implant is used to give cleavage to a large degree, than the implant will ride up on the breast bone and may show rippling or other deformities. The worst deformity is symmastia.Second, most of us use 'high profile' implants because they give more volume in a more narrow diameter and can avoid an over-dissection to the sides. 'Utra high' profiles are rarely used because they can give over-projection. Be careful of these.Hope this helps.

Hello thank you for your question  and provided information as well..based in your question and the picture you  showed  You are a great candidate for a breast augmentation.  You may want to consider moderate profile plus rather than ultra high profile in your case.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   

Hello!There are ways for you to "try on" implants to be sure you are comfortable with your final outcome. We size in our office with actual implants in a bra, to match the size that will be placed during surgery. Some have imaging to create a virtual outcome. I would recommend you meet with your surgeon again to be sure you are comfortable with the size of implant that will be placed.Best of luck!

Thank you for the question. I agree that size  is one of the most important considerations. There’s a variety of methods on how to choose size. Additionally, projection of the implant and base width impact the appearance. I think it’s important  that you discuss your wishes with the surgeon once the size is chosen, the appropriate profile is selected  to help achieve your goals. 

Dear Sadie1987,
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

Hello and thank you for your question. You are a great candidate for a breast augmentation.  You may want to consider moderate profile plus rather than ultra high profile.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Thank you for sharing your question and photographs.  I would advocate speaking with your surgeon further as some of your concerns do not match the implant profile selected.  Rarely does ultra high profile implants appropriately size a woman’s chest and although the depth between the implants improves, the spacing can be limited if not maximizing your breast width diameter.  Hope this helps.

I would reconsider your implant shape choice and lean more towards a more moderate plus profile than a super high profile implant. You might talk about a small lift as well as your nipple areolar complexes sit kind of low (mild droop).