High profile implants will have less diameter and more projection
It is important to understand the difference between low and high profile implants to imagine the results that you will have following surgery.
Your current 350cc low profile implants have a wider diameter and lower projection. They fill more of your chest diameter without giving you projection.
Replacing the 350 with a 450 will give you a little more volume but mainly an increase in your profile which seems like what you want.
The choice of the new size is very dependent on your current breast measurements. Your board certified plastic surgeon will be able to show you the different options and what would best fit your anatomy.
In general I use high and moderate plus implants, they tend to give a nice projection.
The changes in your breast shape following weight loss will be dependent on the amount of weight loss and the percentage of glandular to fatty tissue in your breast.
Your valid questions and concerns should be discussed with your surgeon
It sounds like you have very valid and practical questions concerning your implants. I urge you to discuss your concerns with your plastic surgeon and let him help you decide what size and shape will give you your desired outcome. I always say that communication with your physician is ESSENTIAL to a great surgical experience--and you deserve that!
It all depends on your body shape and tissue quality
It it hard to give you specific advice on breast implants without examining you and/or seeing pictures. The high profile implants will give you more projection for a given volume.
However, the final shape really depends on your body shape and tissue characteristics. For your other question, loosing weight, will make the implants look larger since the implants will stay the same size while your body will be smaller.
No, they will give you more projection for the same volume
The key in implant selection is proper sizing. The width should be measured to give adequate cleavage. Cleavage is also affected by the amount of breast tissue you have before the surgery, the width of the breast bone, and whether the implants are above or below the muscle.
Roundness will also be affected by the style of the implant (round or teardrop), type of implant (saline vs. gel), and the width. The wider the diameter there may be more cleavage and roundness. Saline tend to be more round than gel , but gel have other advantages.
The projection of the implant helps determine final size or volume of the implant. After selecting the correct width, a patient that wants to be smaller and less noticeable will be best served with a lesser projecting, gel implant. Someone who wants to be significantly larger, and has adequate skin (not too tight) would then have a high profile implant. A common indication is someone with a narrow frame that wants a full C cup, usually will need a high profile implant.
The surgeon needs to examine you and help you determine which implants will fit, how they might fit, and to help you decide how best to obtain your objectives. In addition he should describe the risks.
Hi, thanks for your question
on which implant size would be best for you.
Right now it sounds like you’re considering 350cc and 450cc. Since there is no way to say definitively
over the internet which size would be optimal for you, take comfort in the fact
that the surgeon uses your unique measurements and is able to provide you with
a general range. In many cases the board
certified plastic surgeon can best be your guide as they’ve met with you in
person and heard your aesthetic goals. You may consider doing 3-D imaging;
however with nearly all the breast cases we’ve performed, we’ve found patients
enjoy doing a live “try on” session where they actually can “try on” the
implant in a non-padded bra in our office.
This does not give an exact measurement of outcome, rather it gives a
nice idea of what to expect. For patients who desire a more natural look we
like to recommend the shaped implant.
For patients who desire a more full, voluptuous look we recommend a
higher profile implant. And remember that all breasts have at least some amount
of asymmetry (we like to say they’re like sisters and not twins). My very best to you. – Dr. Brian Coan
Are High Profile Implants Best For Cleavage ?
The question is straightforward but the answer is not. It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon especially when it comes to cleavage issues. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below.
Cleavage depends on your natural breast positioning
Post-operative cleavage will depend on your pre-surgery cleavage. You have wide-set breasts, which means you'll probably continue to have wide-set breasts after surgery. However, while you may have a bit of improvement, it may not be as much as you want. Unfortunately, your surgeon can only do so much to give you cleavage before it looks abnormal, since the implants have to remain centred underneath your nipples.
High profile implants have more projection and thus will give you more upper pole fullness and cleavage than other profile.
Implants For Cleavage & Roundness
Cleavage will not
necessarily be helpful by utilizing high profile implants for a variety of
reasons. Cleavage occurs because of a narrow gap between the medial borders of
the two breasts.
baseline anatomy is the most important factor in determining whether cleavage
can exist. In some patients with laterally displaced nipple areola complexes
cleavage may not be possible. In this situation, the implants must be centered
beneath the areola. This will often result in widely spaced breast mounds.
In other cases,
underlying chest wall deformities can impact cleavage as well. Cleavage may be
unattainable in patients who have prominent sternums with a downward lateral
choice of implant may not significantly impact the problem. High profile
implants have relatively narrow base dimensions and probably would not alter
cleavage. These implants create more anterior breast projection and upper
If you have
questions regarding this topic, it’s important to consult a board certified
plastic surgeon. This surgeon should be able to help you formulate an
appropriate game plan.
Choosing medium or high profile breast implants
Cleavage is more affected by the ultimate positioning of the implants, medial release of pectoralis muscle fibers, genetics, and volume and dimension measurements of the implant with respect to your breast size and shape.