I'm currently a 34A, flat upper pole with very little volume in the lower pole. 5'9.5" 135 lbs. Breast width of 12.8cm. I need advice on choosing moderate vs high profile and what size would fit my frame.
To get better upper pole fullness, I recommend you have the implants placed under the muscle (i.e. pectoralis major muscle). The implants will be better covered that way and give you that fuller look. I also recommend high profile style to give you better projection. As far as your size, you should try on different sizes and pick the one you like. With your dimensions that you list, my guess would be somewhere between 400 cc to 500 cc.
Published on Jul 11, 2012
The most upper pole fullness would usually be with a high profile implant. This implant has a narrower base so gives you more projection and so more fullness.
Published on Jul 11, 2012
Profile terminology will vary from one manufacturer to the next. The terminology matters less than the correlate dimensional measures.
As one goes up in profile the footprint or BWD of the device will shrink and the projection will increase for a given volume. I have found that full profile Allergan implants correlate closely with high profile Mentor implants. These devices exhibit higher projection than similarly sized moderate (+)/moderate profile devices. Ultra high profile is simply the next step upwards in projection.
Patients are encouraged to stay within the boundaries defined by their BWD. This is the best way to avoid the dreaded "fake" look. I generally recommend that patients with smaller frames who are seeking more than a modest augmentation consider a higher profile device.The higher profile device will impart greater projection and thus a less subtle result but will allow for a more significant augmentation than a similarly sized Mod/Mod+. Thus, the ultimate question is one of volume. Is the volume you can achieve via a similarly sized Mod + profile implant adequate to reach your desired goals? If not, a HP will afford you more volume at the cost of subtlety.
The difference between higher and lower profiles for a given volume is projection and for a given width is volume (with the high profile implant being greater in both scenarios). The moderate plus is the most commonly used profile in my practice. It allows for the most reasonable volume in given BWD. In my practice, low profile implants are the least commonly used (widest and flattest). I will typically reserve high profile devices for smaller framed individuals or those seeking a less subtle more dramatic change (the opposite of natural).
Smaller framed patients tend to prefer HP implants as their BWD can be restrictive with regards to volume. An HP implant will provide greater volume in the same BWD footprint. But remember "natural" while difficult to define often implies a good match between frame, volume and projection. If the goal is natural more conservative sizing/volumes are recommended.
I generally classify profile based upon patient preference. A higher profile provides a more dramatic look (size for size) vs. a moderate/moderate + profile which is relatively more subtle and understated. That being said the vast majority of patients will select a moderate + profile device.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Published on Jul 11, 2012
It depends on your goal volume/appearance/cup size. Upper pole fullness is very achievable and the norm with properly placed standard round implants of appropriate dimension for your measurements. Generally, as the implant profile increases for a given breast volume, the base diameter decreases. For a breast width of 12.8 cm with your height/weight and breast description you could easily accommodate either moderate or high profile choices...moderate is more likely to fill you out side to side whereas a higher profile implant especially with a higher fill percentage/more cohesive gel if (silicone) will be more likely yield to yield greater upper fullness.
Published on Jul 11, 2012