280cc anatomical or 370 xtra moderate Mentor implants?

Question

Will there be a significant difference between the two sizes or will the profile be bigger with the anatomical?

Daniel Barrett, MD · Answer

Dear Khloe14109,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Azita Madjidi, MD, MS, FACS · Answer

The difference in projection should not be the deciding factor. These have the same projection but their diameter is different and that is the most important factor in having the right size implant for your chest width. If an implant is too wide for your chest, it may create a fold or go too fat under the armpit or too much over the chest bone. 
The feel of the implant also needs to be discussed.

Brian May, MD · Answer

Hi Khloe14109,
In general, there are pros and cons to both round and anatomic shaped implants. One of the most notable differences being that round implants tend to provide more fullness and cleavage in the upper portion of the breasts. The final appearance of both implants will depend greatly on your current breast shape and size. I recommend consultation with a board-certified plastic surgeon who will be able to recommend the correct implant size and shape based on your goals of surgery. Best of luck on your surgery journey!

Connie Hiers, MD, FACS · Answer

The 370 cc implant will give you about a half cup increase in size over the 280 cc's.  With small implants, like 280 cc's, I recommend using the round implant unless this is reconstruction after a mastectomy.  The ultra style will give more projection and a taller profile.

Camille Cash, MD · Answer

Yes there are differences to these implants.  In addition to volume there is a difference in shape and profile.  One may fit your breast better than the other.  This is where your board certified plastic surgeon is your personal expert.  She/He discusses your goals for surgery and examines your breasts.  This information is combined to help determine options of implants that will most closely get you the look you are wanting.  I've included a video that I hope you find helpful.

Serkan Kaya Ekinci, MD · Answer

Hello, I am Dr. Serkan Kaya Ekinci. Your body shape, weight, height are all important to decide. A surgeon cannot decide this by asking questions without examining you. We must decide together.

Mats Hagstrom, MD (license on probation) · Answer

There’s no good way to describe the difference in writing.
One implant is just under 1/3 larger than the other.
The size difference speaks for itself.
I suggest you ask providers to show you the different profile implants during consultations.
I typically don’t use anatomic profile implants.
Some providers think they have certain advantages.
Breast augmentation outcomes are generally based on three variables.
The first is patient candidacy.
Not all women seeking breast augmentation are ideal candidates for the procedure.
Understanding your own candidacy is an important part of maintaining high patient satisfaction.
The second variable is implants selection in regards to size shape and type.
 Different plastic surgeons have different ways of guiding patients through the implant selection process.
Some providers do this much better than other is great.
Some providers will make the final decision regarding implant selection. Other providers will ask patients to make the decision.
Like I mentioned different plastic surgeons have different ways of doing this and some do it better than others.
My personal preference is to work with before and after pictures.
Once I have an understanding of what my patient is trying to achieve. I usually bring those images with me During surgery.
I generally ask patients to work with before and after pictures of previous patients who have similar body characteristics to my patient.
During surgery, I use temporary sizers to determine what size implant will give an outcome consistent with the before, and after pictures, the patients have shown me.
I typically have access to a full selection of implants during surgery to choose from.
Providers do this differently.
The last variable is the surgeons ability to place the implant in the correct anatomic location.
Provider selection is probably in the end, the most important variable.
In the hands of the right provider you’ll be given an accurate assessment, and your candidacy for the procedure will be described accurately.
In the hands of the correct provider also be guided through the implants election process in an easy straightforward manner.
Finally, in the hands of the right plastic surgeon The chance of needing revision surgery is reduced dramatically.
All three of these variables are critical to quality outcomes.
Whenever outcomes are less than a deal at the problem can usually be traced back to one or more of these three variables.
I recommend patients start the process by having multiple in person consultations with providers in your community.
Ask providers to open up their portfolio and show you the entire collection of before, and after pictures of previous patients who had similar body characteristics to your own.
A thorough consultation should explain your candidacy for the procedure in detail guided
This may include understanding breast position on the chest wall, breast divergence, breasts ptosis etc. 
Being shown a handful of pre-selected images representing only the best results of a provider career may be insufficient to get a clear understanding of what average results look like in the hands of each provider.
I generally recommend people bring pictures of their own body, taking the same way plastic surgeons take before and after pictures to use as a reference during consultations, especially when reviewing before, and after pictures.
Highly experienced plastic surgeons should have access to hundreds or preferably thousands of before, and after pictures to choose from.
They should have no difficulty finding lots of examples of previous patients who had very similar body characteristics to your own.
Ask each provider what their most common indication for doing revision surgery is, what their revision rate is and what their revision policy is.
There’s no correct number of consultations needed to find the right provider.
The more consultations patient schedule the more likely you are to find the better provider for your needs.
The biggest mistake I see patients make is having only one consultation and then scheduling surgery.
Having only one consultation, more or less eliminates the ability to choose the better provider.
The time to be critical of plastic surgeons is during the vetting process when selecting providers.
In the end, provider selection is the most important variable, and where patients should focus most of their effort.
Other variables tend to fall into place once you found the right surgeon.
Best,
Mats Hagstrom MD

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