Full or extra full profile? (Photo)

Implant sizing is part art and part science. Using sizers in a bra is very helpful, especially for physically seeing the volume that an implant will provide, but they are far from ideal. Sizers have significant limitations in how accurately they will demonstrate breast shape and projection, primarily because of the role the bra itself plays in shaping of the breast. I have found 3D simulation to be an indispensable part of my breast consultation process in helping patients literally see the size of different implants on a photo of their own chest. I do this before sizing and together have found much better patient satisfaction with implant choices.

In breast augmentation without a lift, the implant size wil be the most significant factor in your final shape, much more-so than the implant shape or projection. Even tear-drop shaped silicone implants that are firmer and fuller at the bottom of the breast than the top often have less impact on the final breast shape than you might expect.

The 417cc extra full profile implant is narrower and taller than the essentially equivalent-size 420cc full profile implant. I generally don’t follow this path of choosing between profiles to select an implant, instead I identify an implant width that I feel is optimal for you and then work with you to choose the volume. While I understand that a patient may desire more projection, in practice this is not the end effect of a higher profile implant if the implant is not wide enough to fit the breast well (at the same time, we do not want the implant too wide). From your pictures and your "ideal" goal, I think you will be very happy with implants and stand to get a great result. I'd suggest asking your surgeon about the optimal fit of the implant for your breast.Hope this helps,

Nick Slenkovich, MD FACS

Choosing the right size implant depends on any number of factors all of which require an in person exam. Assuming that you've clearly communicated your desired outcome to your surgeon, I would advise you to trust his or her recommendation. Best, Dr. Nazarian

Hello,Thank you for the question and photos. First, I'd like to point out that the 1st and second wish pic you've posted appear to have a significant difference in size. It does appear that you prefer the "round", full look. The difference of a few cc's or even 20-30 ccs is so small that I don't recommend you worry too much about it. Your pictures with sizers in appear to be smaller than some of your wish pics so if your Plastic Surgeon can recommend a couple larger sizes for you to try on, it may be a good idea to do that.Be sure to communicate your aesthetic goals to your Plastic Surgeon.All the best  

Your photos with the sizers in place are not nearly as large-breasted as the models you show, so you might want to resize.  Be sure to discuss with your own surgeon about how this applies to you, and whether they have any special concerns in your case.

Many patients in Los Angeles favor the fake look you are trying to achieve. Use the SRX extra high profile silicone implant. Best of luck